| NPI | 1548339443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B HAGIE Sole Member 541-482-0342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OR DO19825) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-10-18 |