NPI | 1881996759 |
---|---|
Entity Type | Organization |
Authorized Contact | ROYCE MCGOWAN President 904-350-5544 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: FL CH8235) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2011-04-11 |