NPI | 1518115468 |
---|---|
Doing Business As | REVOLUTION CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | ADAM MICHAEL DUNCAN President/CEO 405-209-4316 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK 3884) |
Enumeration Date | 2008-09-04 |
Last Update Date | 2009-04-02 |