NPI | 1528223237 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL DAVID ALLEN Chiropractor/Owner 662-320-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MS 0911) |
Enumeration Date | 2008-07-22 |
Last Update Date | 2009-05-08 |