NPI | 1518002575 |
---|---|
Doing Business As | MAGIC VALLEY SPINE & JOINT |
Entity Type | Organization |
Authorized Contact | SAMUEL H BARKER President 208-734-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1210) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: ID CHIA1210) |
Enumeration Date | 2007-02-20 |
Last Update Date | 2016-03-11 |