Freddie L. Sermon D.C.

NPI 1023166436 - Chiropractor - 111N00000X

NPI Details
NPI 1023166436
Gender Male
Enumeration Date 01/08/2007
Last Updated 10/23/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1880E 17TH ST
IDAHO FALLS ID, 83404-6468, US
Phone (208) 206-0237
Business Location
IDAHO FALLS ID, 83401-6093, US
Phone (208) 206-0237
Taxonomy Code 111N00000X
License State Idaho
License Number CH-679
Remove 1023166436 NPI Number

According to our database, Dr. Freddie L. Sermon D.C. NPI is 1023166436, taxonomy code is 111N00000X and license number is CH-679, license state is located at Idaho. Freddie L. Sermon D.C. physically located at 1880e 17th St, Idaho Falls ID, 83404-6468. NPI Number Freddie L. Sermon D.C. has the Individual type.

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1023166436 NPI number is provided on an as is basis without warranty of any kind. 1023166436 is maintained by the National Plan & Provider Enumeration System. The contents of Freddie L. Sermon D.C. are for informational purposes only.