| NPI | 1265745244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLAN BRADLEY JAMISON Doctor / Owner 208-552-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA467) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2023-11-09 |