| NPI | 1821297979 |
|---|---|
| Other Name | RANDY MOYER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6073) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CO 6073) |
| 111NS0005X Chiropractor, Sports Physician (Licence: CO 6073) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-23 |