NPI | 1417214230 |
---|---|
Entity Type | Organization |
Authorized Contact | HARVEY J ROEDER Owner/Chiropractor 479-254-3999 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: AR 154720) |
Enumeration Date | 2012-04-18 |
Last Update Date | 2012-04-18 |