| NPI | 1407148653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BRIAN SANDROW Chiropractor/Physician 360-883-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA CH 60189008) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2016-02-08 |