Organization
AVANTI HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN THOMAS (ADMINISTRATIVE ASSISTANT)
(208) 664-5225
Entity
Organization
Contact information
Practice address
850 W IRONWOOD DR, SUITE 302, COEUR D ALENE, ID 83814-4903
(208) 664-5225
(208) 664-5228
Mailing address
850 W IRONWOOD DR, SUITE 302, COEUR D ALENE, ID 83814-4903
(208) 664-5225
(208) 664-5228
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-1389
ID
111N00000X
Chiropractor
Primary
CHIA-1391
ID
Other
Enumeration date
08/18/2010
Last updated
09/17/2010
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