| NPI | 1649322389 |
|---|---|
| Doing Business As | PENINSULA CHIROPRACITC & OR PRIME CARE MEDICAL GROUP III |
| Entity Type | Organization |
| Authorized Contact | BURT H RUBIN Owner 757-723-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |