| 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 |