| NPI | 1235596982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASE JORDANE VIFQUAIN President 816-804-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-27 |