| NPI | 1295034619 |
|---|---|
| Doing Business As | DIAMOND STATE CHIROPRACTIC AND PAIN RELIEF |
| Entity Type | Organization |
| Authorized Contact | TODD BOGOS Owner 856-429-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2025-01-24 |