| NPI | 1922144526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PHILIP MATHES President 804-746-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104001892) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-01-13 |