NPI | 1639252703 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY PAUL POE Doctor 316-733-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: KS 01-03532) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2007-10-05 |