| NPI | 1083668099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FORREST WILLIAMS Dc President 208-344-1851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA714) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |