| NPI | 1902004252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA L CARSON Sec/Treas/VP 480-831-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 4493) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4492) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2022-01-10 |