| NPI | 1871865626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID DONNOLLY Chiropractor 319-217-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: IA 007418) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-08 |