NPI | 1104183805 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FRANCIS MILLER Owner 714-963-8855 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CA DC15656) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2012-06-14 |