| NPI | 1912521121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD D PATTISON Manager 623-581-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor |
| 111NX0100X Chiropractor, Occupational Health | |
| 163WC0400X Registered Nurse, Case Management | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-29 |