Organization
DR NEIL A MAVITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY E SWAN (OFFICE MGR)
(208) 245-5349
Entity
Organization
Contact information
Practice address
132 S 2ND ST, ST MARIES, ID 83861-2209
(208) 245-5349
(208) 245-0153
Mailing address
PO BOX 303, ST MARIES, ID 83861-0303
(208) 245-5349
(208) 245-0153
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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