| 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 |