| NPI | 1912461336 |
|---|---|
| Former Legal Business Name | STAND UP CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | RYAN BERG Owner 619-500-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-03-09 |