| Organization Name: | ST MARIES CHIROPRACTIC INC |
| NPI Number: | 1518225150 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARLENE KAY SAUNDERS (CHIROPRACTOR) |
| Mailing Address: | 533 Main Ave St Maries |
| State: | ID US |
| Postal Code: | 838612060 |
| Phone Number: | 2082453420 |
| Fax Number: | 2082453420 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | CHIA 527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |