| NPI | 1104571629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEL MURILLO Medical Director 800-835-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |