5 Mile Plaza Chiropractic Center

NPI 1053544510 - Chiropractor - 111N00000X

NPI Details
NPI 1053544510
Enumeration Date 09/01/2009
Last Updated 09/01/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SCOTT R SCOTT
Position OWNER
Phone (208) 322-0051
Fax
Practice Location
10406 OVERLAND RD
BOISE ID, 83709-1433, US
Phone (208) 322-0051
Fax
Business Location
10406 OVERLAND RD
BOISE ID, 83709-1433, US
Phone (208) 322-0051
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA4603
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According to our database, 5 Mile Plaza Chiropractic Center NPI is 1053544510, taxonomy code is 111N00000X and license number is CHIA4603, license state is located at Idaho. 5 Mile Plaza Chiropractic Center physically located at 10406 Overland Rd, Boise ID, 83709-1433. NPI Number 1033115704 has the healthcare provider type.

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1053544510 NPI number is provided on an as is basis without warranty of any kind. 1053544510 is maintained by the National Plan & Provider Enumeration System. The contents of 5 Mile Plaza Chiropractic Center are for informational purposes only.