NPI | 1821131350 |
---|---|
Doing Business As | JEFFREY MALLORY DC |
Entity Type | Organization |
Authorized Contact | JEFFREY GRANT MALLORY Doctor Gen Mng 480-962-0710 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 02079) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2008-05-15 |