| NPI | 1609408194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WARD FROST Owner 602-992-2656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |