| NPI | 1821289646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROY GOLDSTEIN Chiropractor 740-852-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1117) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OH 1117) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |