| NPI | 1194149203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN R DORNBUSH President 563-242-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: IA A06166) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |