| NPI | 1396070165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE LEE WEIDNER Owner/Sole Member 719-590-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: CO 4419) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2009-10-12 |