| NPI | 1134792427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG ALLEN MEDEIROS President 401-459-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |