NPI | 1205004231 |
---|---|
Doing Business As | ADVANCED CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | MILES ELLSWORTH RANCK President 208-921-0922 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2008-02-12 |
Last Update Date | 2008-02-12 |