| NPI | 1740646876 |
|---|---|
| Doing Business As | SUBURBAN SPINE AND SPORT |
| Entity Type | Organization |
| Authorized Contact | SCOTT D UNGEMACH Proprietor 570-956-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC007620L) |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-03-16 |