| NPI | 1487900205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MCKENZIE Owner/Doctor 208-883-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA1041) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA1505) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2013-09-18 |