| NPI | 1407149966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS LEE HARPER Owner 208-476-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA435) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA1385) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |