| NPI | 1922066976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT SHAPIRO Owner, Provider, Administrator 602-908-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 5741) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-07-27 |