MR. Bruce John Grandstaff SR., DC
NPI #1730155334 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1730155334
- Entity Type
- Individual
- Name
- MR. Bruce John Grandstaff SR., DC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Feb 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7905 N MEADOWLARK WAY
- Address 2
- STE B
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83815
- Phone
- (208) 772-6015
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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