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NPI Profile for Dr GROVER L MALLARD in LEWISTON, ID.
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI # | 1356333702 |
|
| Status | Active | |
| Credentials | DC (Doctor of Chiropractic) | |
| Entity | Individual | |
| Enumeration date | 08/19/2005 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GROVER L MALLARD
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GROVER L MALLARD, DC