NPI | 1255723672 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY F WIDMER President 717-368-4016 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: NM 1406) |
Enumeration Date | 2015-02-22 |
Last Update Date | 2015-02-22 |