Organization
SWAYZE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES P SWAYZE P SWAYZE D.C. (PRESIDENT)
(208) 762-9000
Entity
Organization
Contact information
Practice address
402 W CANFIELD AVE, SUITE 3, COEUR D ALENE, ID 83815-7784
(208) 762-9000
(208) 762-9009
Mailing address
402 W CANFIELD AVE, SUITE 3, COEUR D ALENE, ID 83815-7784
(208) 762-9000
(208) 762-9009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-886
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805528100
—
ID
Enumeration date
03/29/2007
Last updated
09/21/2020
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