| NPI | 1043535420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER E DAVIS Director 701-277-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: ND DC137) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2010-03-29 |