| NPI | 1952790057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BARONE Owner/Doctor 520-505-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7408) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 8092) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-08-05 |