Mellor Chiropractic Clinic P.a.

NPI #1871602987 in Rexburg, Idaho

Provider Information

NPI Number
1871602987
Entity Type
Organization
Organization Name
Mellor Chiropractic Clinic P.a.
Primary Specialty
Residential Treatment Facility, Physical Disabilities
Enumeration Date
Aug 30, 2006
Last Updated
Feb 6, 2009

Practice Location

Address
54 PROFESSIONAL PLZ
State
Idaho
ZIP Code
83440-2047
Phone
(208) 356-6009

Authorized Official

Name
STEPHEN PAUL MELLOR, D.C.
Title
CHIROPRACTIC PHYSICIAN
Phone
(208) 356-6009

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Physical Disabilities

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