| NPI | 1780014621 |
|---|---|
| Doing Business As | WHITE ROCK HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | JEREMY R BUCKNER Owner 602-421-2730 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 111NR0400X | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SF0001X Clinical Nurse Specialist, Family Health | |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2015-06-22 |