NPI | 1366712903 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LOUIS VISCARELLI Owner/CEO 970-497-9080 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR-6800) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2012-01-11 |