| NPI | 1508059494 |
|---|---|
| Former Legal Business Name | MOUNTAIN DOVE CHIROPRACTIC CLINIC P.C. |
| Entity Type | Organization |
| Authorized Contact | MARC JOSEPH VIAFORA President 928-284-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2012-03-28 |