| NPI | 1720272172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LYNN SRDICH Owner 623-979-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: AZ DC5254) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2012-07-19 |