| NPI | 1982937033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID CORMIER President 480-945-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 7473) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5685) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2010-04-26 |