| NPI | 1922020858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID CRISMON Partner 480-892-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5639) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5447) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-08-01 |