| NPI | 1376888354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX J BYRD Chief Manager 701-343-6496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 364) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ND 366) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2013-02-14 |