| NPI | 1073666780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W MIDDENDORF Owner Chiropractor 360-871-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 1706) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-09-15 |