| NPI | 1891014411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL EUGENE DERRICK Chiropractor 360-438-6425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00003132) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2020-04-22 |