| NPI | 1245228154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD COYLE President 408-264-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |