NPI | 1013636745 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE CHRISTOPHER DUGAN Owner/Chiropractor 484-342-1383 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician |
Enumeration Date | 2022-08-25 |
Last Update Date | 2022-08-25 |