Mary Jo White Dcpa

NPI #1194975250 in Post Falls, Idaho

Provider Information

NPI Number: 1194975250
Entity Type: Organization
Organization Name: Mary Jo White Dcpa
Primary Specialty: Chiropractor
Enumeration Date: Sep 25, 2008
Last Updated: Sep 25, 2008

Practice Location

Address: 606 N SPOKANE ST
Address 2: STE C
City: Post Falls
State: Idaho
ZIP Code: 83854-5291
Phone: (208) 777-2884

Authorized Official

Name: MARY JO WHITE DCPA, DC
Title: OWNER
Phone: (208) 777-2884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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