Individual
DR. SHAUN MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2016 S EAGLE RD, MERIDIAN, ID 83642
(208) 887-6810
Mailing address
2016 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 887-6810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1601
ID
Other
Enumeration date
04/01/2018
Last updated
05/29/2018
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