NPI | 1740530088 |
---|---|
Entity Type | Organization |
Authorized Contact | LEON FAZZIO Owner 907-456-3302 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: AK 166) |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2012-09-13 |
Last Update Date | 2023-11-14 |