NPI | 1194269373 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROGALL EPPERSON Owner/Chiropractor 385-200-4125 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 10086599-1202) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |