NPI | 1093455248 |
---|---|
Doing Business As | SOUTH ALBANY CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | ILLYA GLAZUNOV Doctor Of Chiropractic 503-953-5647 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2022-03-29 |
Last Update Date | 2022-03-29 |