| NPI | 1437430659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOE DIERDORFF Owner/Chirpractor 304-208-0349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 11237) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |