| NPI | 1407215668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE DARREL SUMMERS Member / Chiropractor 208-887-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1703) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |