NPI | 1700955754 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS BUTCHART Owner 510-487-5105 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27315) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
208D00000X General Practice (Licence: CA C29434) | |
Enumeration Date | 2006-11-06 |
Last Update Date | 2023-03-07 |