NPI | 1275562498 |
---|---|
Entity Type | Organization |
Authorized Contact | DANI DEBERG Officw Manager 605-338-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 730) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1085) |
111N00000X Chiropractor (Licence: SD 947) | |
Enumeration Date | 2006-07-01 |
Last Update Date | 2023-12-12 |