| NPI | 1972504785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA JEFFREY SIMON President 480-860-6890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 4158) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 4013) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-04-20 |