| NPI | 1609205863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC POOLE Manager/Member 480-315-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2025-06-24 |