NPI | 1023181302 |
---|---|
Entity Type | Organization |
Authorized Contact | SPEROS TRYPHONAS Doctor President 757-424-2626 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556069) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-05-23 |