Organization
ENSO CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE DARREL SUMMERS D.C. (MEMBER / CHIROPRACTOR)
(208) 887-4747
Entity
Organization
Contact information
Practice address
903 N MAIN ST, MERIDIAN, ID 83642-2301
(208) 887-4747
(208) 887-4657
Mailing address
3313 W CHERRY LN, PMB 703, MERIDIAN, ID 83642-1119
(208) 887-4747
(208) 887-4657
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1703
ID
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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