| NPI | 1972900306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHON BENJAMIN OSWALD Chiropractor 580-748-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR.0007218) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |