NPI | 1336380450 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS RYAN GRIFFETH Owner/Doctor 208-955-6610 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1358) |
Enumeration Date | 2009-03-19 |
Last Update Date | 2018-06-21 |