| NPI | 1457693814 |
|---|---|
| Former Legal Business Name | BRIAN ROADHOUSE D.C. |
| Entity Type | Organization |
| Authorized Contact | BRIAN L ROADHOUSE Owner 918-481-2770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |