NPI | 1114295284 |
---|---|
Former Legal Business Name | HEALTHSOURCE OF CEDAR RAPIDS SOUTHWEST P.C. |
Entity Type | Organization |
Authorized Contact | RORY PAUL MORAVETZ President 319-390-2037 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06595) |
Enumeration Date | 2011-12-05 |
Last Update Date | 2016-02-09 |