Individual
MARK MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
845 W KATHLEEN AVE, COEUR D ALENE, ID 83815-9405
(208) 448-4222
Mailing address
845 W KATHLEEN AVE, COEUR D ALENE, ID 83815-9405
(208) 448-4222
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CHIA-1645
ID
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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