| NPI | 1073698759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORBY J MILLER Billing Director 702-475-8050 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC22098) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2010-09-22 |