| NPI | 1407371495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CLARK SHEPHERD Chiropractor 757-810-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557364) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |