Individual
CHAD C WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1565 E LEIGHFIELD DR STE 150, MERIDIAN, ID 83646-5371
(208) 855-0585
Mailing address
12224 W BOWMONT ST, BOISE, ID 83713-0021
(208) 602-1573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1267
ID
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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