Organization
JEROME CHIROPRACTIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MCCLAIN SACCOMAN D.C. (PRESIDENT)
(208) 324-0222
Entity
Organization
Contact information
Practice address
213 S LINCOLN AVE, JEROME, ID 83338-2624
(208) 324-0222
(208) 324-0223
Mailing address
PO BOX 632, JEROME, ID 83338-0632
(208) 324-0222
(208) 324-0223
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIA-650
ID
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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