| NPI | 1790926293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TECUMSEH WALLACE BALL Owner 480-659-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 7437) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2012-12-10 |