NPI | 1760800288 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GRAYSON RENBARGER President 408-358-2689 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: CA 12805) |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-23 |