| NPI | 1073921730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W. SMITH, DC, DABCI Manager 225-291-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: LA 611) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-08-25 |