| NPI | 1215131149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN THOMPSON Billing Coordinator 304-363-4343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 739) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-11-26 |