| NPI | 1992255798 |
|---|---|
| Doing Business As | RED MOUNTAIN CHIRO-MED |
| Entity Type | Organization |
| Authorized Contact | DAVID C KETCHUM Owner 480-924-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AZ 8573) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 5173) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |