NPI | 1316067010 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES P SWAYZE P SWAYZE President 208-762-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-886) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-09-21 |