| NPI | 1013932961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A SIMCOX Office Manager 937-235-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2449) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3496) |
| 111NX0800X Chiropractor, Orthopedic (Licence: OH 731) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-01-15 |