| NPI | 1306018429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HARAN Billing Specialist Records 208-878-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-936) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2024-03-21 |