NPI | 1497873475 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS B HERMANSEN Owner 702-658-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2007-03-27 |
Last Update Date | 2025-09-11 |