| NPI | 1710125042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ELIZABETH PORMAN Office Manager 480-217-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5435) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |