Dax Sirucek DC, DACNB

NPI 1669654935 - Chiropractor - 111NN0400X

NPI Details
NPI 1669654935
Gender Male
Enumeration Date 11/28/2007
Last Updated 06/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
3080 E GENTRY WAY
110
MERIDIAN ID, 83642-3544, US
Phone (208) 345-7262
Fax (208) 343-1953
Business Location
3080 E GENTRY WAY
110
MERIDIAN ID, 83642-3544, US
Phone (208) 345-7262
Fax (208) 343-1953
Toxanomy
Taxonomy Code 111NN0400X
License State Idaho
License Number CHIA-1276
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According to our database, Dr. Dax Sirucek DC, DACNB NPI is 1669654935, taxonomy code is 111NN0400X and license number is CHIA-1276, license state is located at Idaho. Dax Sirucek DC, DACNB physically located at 3080 E Gentry Way, Meridian ID, 83642-3544. NPI Number Dax Sirucek DC, DACNB has the Individual type.

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1669654935 NPI number is provided on an as is basis without warranty of any kind. 1669654935 is maintained by the National Plan & Provider Enumeration System. The contents of Dax Sirucek DC, DACNB are for informational purposes only.