| NPI | 1134370828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANCE RAY WARDEN Chiropractor 228-588-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 987) |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2022-03-25 |