| NPI | 1952897712 |
|---|---|
| Doing Business As | HEALTHSOURCE OF CASPER |
| Entity Type | Organization |
| Authorized Contact | NINA PRIDHAM Owner/Doctor 503-703-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WY 772) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |