| NPI | 1669190963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER LINDNER Biller 623-776-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-12-27 |