Organization
BODY OF A CHAMPION CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADISON J WILLS DC (CHIROPRACTOR)
(208) 990-7010
Entity
Organization
Contact information
Practice address
9196 W EMERALD ST STE 120, BOISE, ID 83704-8003
(208) 990-7010
Mailing address
9196 W EMERALD ST STE 120, BOISE, ID 83704-8003
(208) 990-7010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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