| NPI | 1063026458 |
|---|---|
| Doing Business As | RANGE SPORTS MEDICINE & PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HERRON Owner Of Practice 541-290-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2022-09-21 |