| NPI | 1902974678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES GERHART CEO 623-776-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: AZ 7243) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7243) |
| 171100000X Acupuncturist (Licence: AZ 7243) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-04-08 |