Tom West

NPI 1265734875 - Chiropractor - 111N00000X

NPI Details
NPI 1265734875
Enumeration Date 12/02/2010
Last Updated 12/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name THOMAS JAY THOMAS
Position OWNER
Phone (208) 726-4555
Fax (208) 726-4515
Practice Location
128 SADDLE ROAD
SUITE 100
KETCHUM ID, 83340, US
Phone (208) 726-4555
Fax (208) 726-4515
Business Location
PO BOX 3933
KETCHUM ID, 83340-3933, US
Phone (208) 726-4555
Fax (208) 726-4515
Toxanomy
Taxonomy Code 111N00000X
License State Idaho
License Number CHIA 423
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According to our database, Tom West NPI is 1265734875, taxonomy code is 111N00000X and license number is CHIA 423, license state is located at Idaho. Tom West physically located at 128 Saddle Road, Ketchum ID, 83340. NPI Number 1033115704 has the healthcare provider type.

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1265734875 NPI number is provided on an as is basis without warranty of any kind. 1265734875 is maintained by the National Plan & Provider Enumeration System. The contents of Tom West are for informational purposes only.