| NPI | 1912285487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS MCCRORY Owner 916-780-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A066088) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24046) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |