Organization
GOTT CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MICHAEL GOTT D.C. (CEO)
(208) 794-4774
Entity
Organization
Contact information
Practice address
1012 10TH AVE S, NAMPA, ID 83651-4557
(208) 794-4774
Mailing address
1012 10TH AVE S, NAMPA, ID 83651-4557
(208) 794-4774
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CHIA490
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807954500
—
ID
Enumeration date
08/18/2008
Last updated
12/18/2009
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