Individual
GREG MARVIN MESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2210 N WHITLEY DR, FRUITLAND, ID 83619-2131
(208) 452-3352
(208) 452-3355
Mailing address
PO BOX 107, FRUITLAND, ID 83619-0107
(208) 452-3352
(208) 452-3355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
273040
OR
111N00000X
Chiropractor
Primary
CHIA833
ID
111N00000X
Chiropractor
CHII833
ID
Other
Enumeration date
03/30/2007
Last updated
01/05/2020
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