| NPI | 1972659464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD WELLS President 434-589-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104556095) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-11 |