| NPI | 1275727588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DEAN BLANCHARD Owner 701-352-1690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 311) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 565) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-03-31 |