| NPI | 1841357100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AARON LIVINGSTON President 208-528-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-948) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |