| NPI | 1124086756 |
|---|---|
| Former Legal Business Name | VILLAGE WEST CHIROPRACTIC, INC. |
| Entity Type | Organization |
| Authorized Contact | TODD DARIN STAFFORD President 814-838-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2021-03-24 |