NPI | 1194987024 |
---|---|
Doing Business As | HEALTHSOURCE OF BROOKINGS |
Entity Type | Organization |
Authorized Contact | JUSTIN WADE MCKILLIP Owner/Operator 605-692-2251 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1133) |
Enumeration Date | 2008-07-01 |
Last Update Date | 2021-06-16 |