NPI | 1770785412 |
---|---|
Doing Business As | DOUGHERTY CHIROPRACTIC CLINIC |
Entity Type | Organization |
Authorized Contact | AMANDA JOY PROKOP Manager Chiropractor 386-423-5259 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH9205) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2011-01-21 |