| NPI | 1104422088 |
|---|---|
| Doing Business As | INTERMOUNTAIN SPINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NOLAN PLOCEK Owner 605-641-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |