Organization
LEGACY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT SYMES D.C. (OWNER)
(206) 313-3733
Entity
Organization
Contact information
Practice address
20 N FISHER PARK WAY STE 100, EAGLE, ID 83616-4709
(206) 313-3733
Mailing address
PO BOX 996, EAGLE, ID 83616-0002
(206) 313-3733
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
08/16/2021
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