DOUGLAS WAYNE BREWER

MERIDIAN, ID
NPI1326128224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111NR0400X Chiropractor, Rehabilitation
(Licence: ID  CH1A1123)
Enumeration Date2006-10-16
Last Update Date2007-07-08
Business Address
Mr. DOUGLAS WAYNE BREWER
280 E CORPORATE DR SUITE 130
MERIDIAN, ID 83642-2951
Phone number: 208-846-8400
Mailing Address
Mr. DOUGLAS WAYNE BREWER
280 E CORPORATE DR SUITE 130
MERIDIAN, ID 83642-2951
Phone number: 208-846-8400
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