Organization
MARY JO WHITE DCPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO WHITE DCPA DC (OWNER)
(208) 777-2884
Entity
Organization
Contact information
Practice address
606 N SPOKANE ST, STE C, POST FALLS, ID 83854-5291
(208) 777-2884
(208) 777-0277
Mailing address
606 N SPOKANE ST, STE C, POST FALLS, ID 83854-5291
(208) 777-2884
(208) 777-0277
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA713
ID
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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