| NPI | 1083454540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH MOREAU President/CEO 719-367-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |