| NPI | 1053760272 |
|---|---|
| Doing Business As | CMC CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | CHAUNCE PHOENYX President 408-998-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA DC29774) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-02-17 |