James Edward Mckenzie DC

NPI 1053402362 - Chiropractor - 111N00000X

NPI Details
NPI 1053402362
Gender Male
Enumeration Date 09/28/2006
Last Updated 07/06/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
619 S WASHINGTON ST
STE #101
MOSCOW ID, 83843-3090, US
Phone (208) 883-4300
Fax (208) 883-4311
Business Location
619 S WASHINGTON ST
STE #101
MOSCOW ID, 83843-3090, US
Phone (208) 883-4300
Fax (208) 883-4311
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA1041
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According to our database, Dr. James Edward Mckenzie DC NPI is 1053402362, taxonomy code is 111N00000X and license number is CHIA1041, license state is located at Idaho. James Edward Mckenzie DC physically located at 619 S Washington St, Moscow ID, 83843-3090. NPI Number James Edward Mckenzie DC has the Individual type.

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1053402362 NPI number is provided on an as is basis without warranty of any kind. 1053402362 is maintained by the National Plan & Provider Enumeration System. The contents of James Edward Mckenzie DC are for informational purposes only.