| NPI | 1265542435 |
|---|---|
| Doing Business As | BEAR LAKE FAMILY CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW BRINTON STEVENS President/Owner 208-847-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID 1106) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |