NPI | 1972868388 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR LOUIS TEBBS Chiropractor 435-635-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: UT 1611631202) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2012-07-11 |