NPI | 1548324742 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMILLE M. WOOD President 605-388-0406 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: SD 1090) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |