DR. Grover Lynn Mallard, DC

NPI #1356333702 in Lewiston, Idaho

Provider Information

NPI Number: 1356333702
Entity Type: Individual
Name: DR. Grover Lynn Mallard, DC
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 19, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 3320 10TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 746-5226

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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