| NPI | 1982223392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO PISANO Owner 602-548-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |