| NPI | 1376191635 |
|---|---|
| Doing Business As | TRI AD CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT VANWAGNER Authorized Official 804-564-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2019-08-29 |