Bob Phillip Heaton DC

NPI 1083688030 - Chiropractor - 111N00000X

NPI Details
NPI 1083688030
Gender Male
Enumeration Date 02/15/2006
Last Updated 01/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1320 S AMMON ROAD
IDAHO FALLS ID, 83406-5810, US
Phone (208) 529-2084
Fax (208) 529-2084
Business Location
1320 S. AMMON ROAD
IDAHO FALLS ID, 83406-5810, US
Phone (208) 529-2084
Fax (208) 529-2084
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA 369
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According to our database, Bob Phillip Heaton DC NPI is 1083688030, taxonomy code is 111N00000X and license number is CHIA 369, license state is located at Idaho. Bob Phillip Heaton DC physically located at 1320 S Ammon Road, Idaho Falls ID, 83406-5810. NPI Number Bob Phillip Heaton DC has the Individual type.

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1083688030 NPI number is provided on an as is basis without warranty of any kind. 1083688030 is maintained by the National Plan & Provider Enumeration System. The contents of Bob Phillip Heaton DC are for informational purposes only.