| NPI | 1093975302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAX KENDRICK SIRUCEK Owner 208-345-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: ID CHIA1276) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2012-02-08 |