| NPI | 1689224057 |
|---|---|
| Doing Business As | ADVANCED BACK & NECK CARE |
| Entity Type | Organization |
| Authorized Contact | MARCUS RYAN PERRON Managing Member 480-688-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-11-05 |