| NPI | 1164615407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT P PEACE Chiropractor 918-747-2717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: OK 3461) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2010-08-30 |