| NPI | 1457081226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN BERNARD COOPER Member 877-495-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-06-14 |