| NPI | 1700108495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DOUGLAS LOVDAHL Owner/Clinician 907-245-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 501) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-04-29 |