| NPI | 1982830212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAN B BRUNSON Owner/President 208-522-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1347) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |