| NPI | 1699015446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA PODOLAK Chiropractor 623-687-5428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: AZ 8307) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |