| NPI | 1689801276 |
|---|---|
| Other Name | VITAL ENERGY WELLNESS & CHIROPRACTIC CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | HOMER G. WALL Owner 303-463-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 2073) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2009-12-18 |