Mark Mead, DC Valid NPI
Individual provider · Nutrition Chiropractor · Coeur D Alene, ID
- NPI
- 1609365626
- Type
- Individual (Type 1)
- Primary specialty
- Nutrition Chiropractor (Chiropractor)
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111NN1001X
- License number
- CHIA-1645 (ID)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2018-05-04
- Last updated
- 2018-05-04
Practice location
845 W Kathleen Ave
Coeur D Alene, ID 83815-9405
(208) 448-4222