NPI | 1831118033 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK D. ROBERTS Chiropractor President 410-931-2096 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD SO1228) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2014-03-19 |