| NPI | 1730330986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD CRAIG SULLTROP President 928-717-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: AZ DC5182) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-11-12 |