NPI | 1376614982 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER A THOMPSON Clinic Director 760-889-4537 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IL 038010385) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-08-22 |