| NPI | 1871985481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT STAMP Owner 602-395-0718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |