| NPI | 1922322395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX WALLACE BRIDGE Owner/Chiropractor 509-628-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH60123090) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-08-20 |