NPI | 1770666752 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY LYNN COTTINGAME Doctor/ Owner 580-920-2555 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OK DC3543) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2013-07-16 |