| NPI | 1861640864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G WAGNER Chiropractor 717-838-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: PA DC003099L) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |