NPI | 1801132725 |
---|---|
Doing Business As | KEYSTONE PERSONAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL ANTHONY O'BRIEN Doctor 720-231-5063 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4786) |
Enumeration Date | 2012-12-20 |
Last Update Date | 2012-12-20 |