NPI | 1083756241 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY A. GOLLIDAY Owner Provider 207-522-6801 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ME CR1174) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2010-05-28 |