NPI | 1982026720 |
---|---|
Entity Type | Organization |
Authorized Contact | DYLAN DRIVER Member 402-841-2038 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0100X Chiropractor, Occupational Health (Licence: NE 1784) |
Enumeration Date | 2014-01-14 |
Last Update Date | 2016-02-02 |