CRANIOSPINAL INSTITUTE PLLC

IDAHO FALLS, ID
NPI1851571376
Entity TypeOrganization
Authorized ContactSHANE MANGRUM
Owner
208-535-4343
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2007-11-13
Last Update Date2008-01-04
Business Address
CRANIOSPINAL INSTITUTE PLLC
2860 CHANNING WAY STE 114
IDAHO FALLS, ID 83404-7531
Phone number: 208-535-4343
Mailing Address
CRANIOSPINAL INSTITUTE PLLC
2860 CHANNING WAY STE 114
IDAHO FALLS, ID 83404-7531
Phone number: 208-535-4343
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