NPI | 1174713507 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL JOSEPH BUNKERS President/Owner 605-335-7744 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: SD 810) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2008-05-02 |