Col323 Pllc

NPI #1881131886 in Hayden, Idaho

Provider Information

NPI Number
1881131886
Entity Type
Organization
Organization Name
Col323 Pllc
Primary Specialty
Chiropractor
Enumeration Date
Jan 27, 2017
Last Updated
Jan 27, 2017

Practice Location

Address
8475 N GOVERNMENT WAY
Address 2
103
City
Hayden
State
Idaho
ZIP Code
83835-8670
Phone
(208) 722-5047

Authorized Official

Name
FLYNN VICK, DC
Title
OWNER
Phone
(208) 772-5047

Specialties & Taxonomy Codes

Specialty
Chiropractor

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