NPI | 1619077435 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN MICHAEL MEYER President, Physician 480-609-4244 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7589) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 4276) |
Enumeration Date | 2006-09-22 |
Last Update Date | 2008-05-05 |