Individual
LARRY W HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
619 S WASHINGTON ST., SUITE 202, MOSCOW, ID 83843-3063
(208) 882-8534
(208) 882-6866
Mailing address
619 S WASHINGTON ST., SUITE 202, MOSCOW, ID 83843-3063
(208) 882-8534
(208) 882-6866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-993
ID
Other
Enumeration date
11/06/2006
Last updated
09/23/2015
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