| NPI | 1558508655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL B ALLEN President 276-466-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: VA 0104000489) |
| Enumeration Date | 2009-01-11 |
| Last Update Date | 2014-12-04 |