Cannon Chiropractic

NPI 1164837647 - Clinic/Center - 261QP2300X

NPI Details
NPI 1164837647
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TIMOTHY W TIMOTHY
Position CHIROPRACTIC PHYSICIAN, OWNER
Phone (208) 557-1880
Fax (208) 874-4273
Practice Location
2052 JENNIE LEE DR
SUITE 4
IDAHO FALLS ID, 83404-7047, US
Phone (208) 557-1880
Fax (208) 874-4273
Business Location
2052 JENNIE LEE DR
SUITE 4
IDAHO FALLS ID, 83404-7047, US
Phone (208) 557-1880
Fax (208) 874-4273
Toxanomy
Taxonomy Code 261QP2300X
License State Idaho
License Number CHIA-1580
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According to our database, Cannon Chiropractic NPI is 1164837647, taxonomy code is 261QP2300X and license number is CHIA-1580, license state is located at Idaho. Cannon Chiropractic physically located at 2052 Jennie Lee Dr, Idaho Falls ID, 83404-7047. NPI Number 1033115704 has the healthcare provider type.

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1164837647 NPI number is provided on an as is basis without warranty of any kind. 1164837647 is maintained by the National Plan & Provider Enumeration System. The contents of Cannon Chiropractic are for informational purposes only.