| NPI | 1467535260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY MATTHEW WIRICK President 208-523-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: ID CHIA1203) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |