| NPI | 1659694156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE ASPEN MCCALL Owner/ Doctor 623-572-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: AZ 7250) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: AZ 2747) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2011-02-02 |