| NPI | 1740444249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD VANCHO President 208-773-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: ID CHIA 654) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |