| NPI | 1366730335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L CARSON Assistant 240-252-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X |
| 111NS0005X Chiropractor, Sports Physician | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |