| NPI | 1740530088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON FAZZIO Owner 907-456-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 166) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-11-14 |