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 Chiropractor Rehabilitation | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner Family | |
364SF0001X Clinical Nurse Specialist Family Health | |
Enumeration Date | 2013-11-13 |
Last Update Date | 2015-06-22 |