| NPI | 1962697706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DORCHESTER Physician 480-991-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 10597) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: AZ 1578) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2012-01-05 |