| NPI | 1366647307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY RUSSELL SEXTON Clinic Director 515-287-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 06387) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-01-02 |