| NPI | 1508086307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BAUER GARST Director 540-297-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: VA 0104000405) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |