| NPI | 1982147443 |
|---|---|
| Doing Business As | GONSTEAD SPINE AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | BRITTANY GLENN MCQUILKIN Office Manager 208-888-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1742) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |