| NPI | 1225449283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON C WAGGONER Chiropractor 719-634-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CO 2257) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |