| NPI | 1184867665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK L DORMAN Owner / Provider 619-297-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC19434) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2010-07-29 |