NPI | 1497131007 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH GLENN Co Owner 515-964-2322 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: IA 007738) |
Enumeration Date | 2015-08-05 |
Last Update Date | 2015-08-05 |