NPI | 1356998314 |
---|---|
Former Legal Business Name | GRUNDY CENTER CHIROPRACTIC, PC |
Entity Type | Organization |
Authorized Contact | GABRIEL SMITH Owner 319-825-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-08-23 |
Last Update Date | 2024-01-10 |