| NPI | 1568608396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D GALLAGHER President 208-989-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: ID CHIA-1113) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2013-12-06 |