NPI | 1821178559 |
---|---|
Doing Business As | BRIDGETOWER CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | SCOTT HANSEN GIBBONS Chiropractor 208-846-8898 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1199) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2014-12-05 |