| NPI | 1093863789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL HURON President 484-282-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: PA AJ005305L) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: PA DC005305L) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-18 |