| NPI | 1528103322 |
|---|---|
| Former Legal Business Name | MAYES SPECIFIC CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | LUKE CORONE MAYES Doctor Owner 208-375-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |