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DR. GROVER LYNN MALLARD DC 1356333702

Overview
Name: DR. GROVER LYNN MALLARD DC Specialty: Chiropractor Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Chiropractic Providers Classification: Chiropractor Specialization: . Definition of Specialty: 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.
License & NPI
License #(s): CHIA832, , , , License State(s): ID, , , ,
Addresses
Practice Location: 3320 10TH ST,LEWISTON,ID,83501,US Mailing Address: 3320 10TH ST,LEWISTON,ID,83501,US
Contact #
Practice location phone #: 2087465226 Practice location fax #: 2087465268 Mailing address Phone #: 2087465226 Mailing Address fax #: 2087465268 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/19/2005 Last data data was updated: 07/08/2007 Insurances:

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