| NPI | 1316157092 |
|---|---|
| Doing Business As | MOUNTAINEER CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN BOLES WELLS Manager / Owner 304-422-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 664) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2016-08-08 |