NPI | 1255680583 |
---|---|
Entity Type | Organization |
Authorized Contact | TRENT D MOZINGO Owner/Physician 812-799-0668 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002618A) |
Enumeration Date | 2012-08-31 |
Last Update Date | 2012-08-31 |