NPI | 1790170876 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN W SCOTT Physician/Owner 757-337-5156 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104557239) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-04-06 |