Individual
DR. JAMES EDWARD MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
619 S WASHINGTON ST, STE #101, MOSCOW, ID 83843-3090
(208) 883-4300
(208) 883-4311
Mailing address
619 S WASHINGTON ST, STE #101, MOSCOW, ID 83843-3090
(208) 883-4300
(208) 883-4311
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1041
ID
Other
Enumeration date
09/28/2006
Last updated
07/06/2012
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