Organization
MELLOR CHIROPRACTIC CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PAUL MELLOR D.C. (CHIROPRACTIC PHYSICIAN)
(208) 356-6009
Entity
Organization
Contact information
Practice address
54 PROFESSIONAL PLZ, REXBURG, ID 83440-2047
(208) 356-6009
Mailing address
54 PROFESSIONAL PLZ, REXBURG, ID 83440-2047
(208) 356-6009
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
C343
ID
Other
Enumeration date
08/30/2006
Last updated
02/06/2009
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