| NPI | 1558067538 |
|---|---|
| Doing Business As | RENEGADE OSTEOPATHY |
| Entity Type | Organization |
| Authorized Contact | JAMES C SULLIVAN Physician/ Owner 603-341-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-09-17 |