| NPI | 1902008105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE CLAY GIPSON Vice President 610-334-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC005000L) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |