NPI | 1619050192 |
---|---|
Entity Type | Organization |
Authorized Contact | DEAN ALAN STJERNHOLM General Partner 970-468-9555 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 3244 AND 3306) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |