CHAD C WILLIS

MERIDIAN, ID
NPI1053598599
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: ID  CHIA-1267)
Enumeration Date2008-01-28
Last Update Date2008-01-28
Business Address
-- CHAD C WILLIS D.C.
1565 E LEIGHFIELD DR STE 150
MERIDIAN, ID 83646-5371
Phone number: 208-855-0585
Mailing Address
-- CHAD C WILLIS D.C.
12224 W BOWMONT ST
BOISE, ID 83713-0021
Phone number: 208-602-1573
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