NPI | 1619166790 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN RICHARD KEIFER Practitioner / Owner 520-577-1717 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 2095) |
Enumeration Date | 2007-10-15 |
Last Update Date | 2008-03-21 |