NPI | 1912072182 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK B BURDORF Doctor Owner 480-951-5006 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 4423) |
Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: DIPLOMATE #328) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2008-02-06 |