| NPI | 1548603327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDELL L. DEWBERRY Managing Member 405-639-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH-9460) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH-10445) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |