| NPI | 1952346538 |
|---|---|
| Doing Business As | DIAMOND STATE CHIROPRACTIC PA |
| Entity Type | Organization |
| Authorized Contact | TODD H BOGOS Owner 302-777-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2025-06-25 |