| NPI | 1588843023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE EDWARD SPROVIERO Chiropractor 273-236-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000891) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2013-11-18 |