| NPI | 1669509568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L MIRITELLO President 480-962-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 03289) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 21507) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-11-11 |