Organization
COL323 PLLC
Active
Other names
Elite Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
FLYNN VICK DC (OWNER)
(208) 772-5047
Entity
Organization
Contact information
Practice address
8475 N GOVERNMENT WAY, 103, HAYDEN, ID 83835-8670
(208) 722-5047
Mailing address
8475 N GOVERNMENT WAY, 103, HAYDEN, ID 83835-8670
(208) 722-5047
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
ID
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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