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 |