| NPI | 1720220338 |
|---|---|
| Doing Business As | BODYLOGICMD OF PHOENIX |
| Entity Type | Organization |
| Authorized Contact | ERIC W HONING Director 888-461-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 29176) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |