Moscow Health and Wellness Center, P.l.l.c.

NPI #1134456031 in Moscow, Idaho

Provider Information

NPI Number: 1134456031
Entity Type: Organization
Organization Name: Moscow Health and Wellness Center, P.l.l.c.
Primary Specialty: Chiropractor
Enumeration Date: Nov 13, 2009
Last Updated: Nov 13, 2009

Practice Location

Address: 317 W 6TH ST STE 206
City: Moscow
State: Idaho
ZIP Code: 83843-2387
Phone: (310) 740-6141

Authorized Official

Name: DR. BAILEY LYNN SMITH, D.C.
Title: DOCTOR OF CHIROPRACTIC
Phone: (310) 740-6141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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