| NPI | 1164985776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MULLINS Member 603-953-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |