NPI | 1548722416 |
---|---|
Doing Business As | BLUE SKY OSTEOPATHY |
Entity Type | Organization |
Authorized Contact | RAYMOND MITCHELL HISEROTE Physician Owner 707-329-6582 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2019-04-01 |
Last Update Date | 2021-02-24 |