| NPI | 1912324856 |
|---|---|
| Doing Business As | GONSTEAD SPINE & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TODD PICKMAN Business Owner/Dr 208-888-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID chia1516) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2018-07-19 |