| NPI | 1639355860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY EUGENE WILSON Chiropractic Physician 4024-631-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 1194) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |