NPI | 1871146050 |
---|---|
Doing Business As | INTERMOUNTAIN FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | CAMERON C VANDENBERG Owner/Chiropractor 208-263-2247 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2019-07-17 |
Last Update Date | 2023-12-28 |