NPI | 1922255850 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN LEE WAYCHOFF President 602-482-2282 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7926) |
Additional Taxonomies | 111N00000X Chiropractor |
363LF0000X Nurse Practitioner, Family | |
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 005799) | |
Enumeration Date | 2008-08-21 |
Last Update Date | 2012-02-08 |