| NPI | 1730385543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA MARIA BOYKIN Business Manager 719-578-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 2638) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-01-13 |