| NPI | 1992776876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GEORGE MCCOY Member Manager 605-339-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: SD 1009) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: SD 1008) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-10-12 |