| NPI | 1255454294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J DAVIES Chief Executive Officer 814-231-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-01-07 |