| NPI | 1679645691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HAAS Administrator 623-583-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7394) |
| 111N00000X Chiropractor (Licence: AZ 5702) | |
| 171100000X Acupuncturist (Licence: AZ 0520) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: AZ 2420) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-10-26 |