| NPI | 1881308013 |
|---|---|
| Doing Business As | 319 SPORT AND SPINE |
| Entity Type | Organization |
| Authorized Contact | CAMERON D HAYWARD Owner 319-327-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-05-03 |