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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1558899807 |
| LBN Legal business name | ARCTIC CHIROPRACTIC AND PHYSICAL MEDICINE KODIAK |
| Authorized official | CHRISTOPHER TWIFORD - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/31/2017 |
| Last updated | 01/10/2018 - About 8 years ago |
| Identifiers | n/a |
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