NPI | 1053716860 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY R MITCHELL Onwer 406-969-3805 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MT 1017) |
Additional Taxonomies | 111NR0400X (Licence: MT 1017) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2014-10-23 |