| NPI | 1669655056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LEROY FAIRBANKS President Moses Lake Chiropractic P 509-765-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |