| NPI | 1710028469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MATHEW GILMORE President 317-587-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002312A) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2017-12-06 |