| NPI | 1881870814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDNEY L DYER Doctor 317-882-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: IN 08000951A) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2012-02-01 |