| NPI | 1619594041 |
|---|---|
| Doing Business As | MAIN STREET CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MELISSA KOPP DC Owner 928-639-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |