NPI | 1396888145 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY RUSSELL DEXTER Owner Chiropractor 740-376-9944 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1730) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-12-20 |