NPI | 1629034145 |
---|---|
Entity Type | Organization |
Authorized Contact | W GENE CRETSINGER Chiropractor Owner 319-393-3996 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 03044) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IA A5719) |
Enumeration Date | 2006-04-24 |
Last Update Date | 2018-10-02 |