NPI | 1497925069 |
---|---|
Entity Type | Organization |
Authorized Contact | BEN AXEL SIMONSON President 605-582-8825 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: SD 1031) |
Enumeration Date | 2008-03-10 |
Last Update Date | 2008-09-24 |