Dr Neil a Mavity

NPI #1649449125 in St Maries, Idaho

Provider Information

NPI Number: 1649449125
Entity Type: Organization
Organization Name: Dr Neil a Mavity
Primary Specialty: Chiropractor
Enumeration Date: Feb 28, 2008
Last Updated: Feb 28, 2008

Practice Location

Address: 132 S 2ND ST
City: St Maries
State: Idaho
ZIP Code: 83861-2209
Phone: (208) 245-5349

Authorized Official

Name: MRS. SHIRLEY E SWAN
Title: OFFICE MGR
Phone: (208) 245-5349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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