| NPI | 1831803915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY DURBANO Co Owner, Chiropractic Physician 810-819-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-02-25 |