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Idaho Spine Clinic Llc
Chiropractor in Malad City, Idaho
NPI 1679805535

Idaho Spine Clinic Llc is a Chiropractor based in Malad City, ID. Idaho Spine Clinic Llc practices in Malad City, ID. The NPI Number for Idaho Spine Clinic Llc is 1679805535 and holds a License No. CHIA-837 (Idaho).

The current practice location address for Idaho Spine Clinic Llc is 148 E 50 S, Malad City, ID and can be reached out via phone at 208-766-8111 and via fax at 208-766-8111.

Location: 148 E 50 S, Malad City, ID, 83252-0069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679805535
Provider Name
Idaho Spine Clinic Llc
Credential
Provider Entity Type
Organization
Address
148 E 50 S, Malad City, ID, 83252-0069
Phone Number
208-766-8111
Fax Number
208-766-8111
Provider Enumeration Date
02/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
148 E 50 S
City
Malad City
State
Idaho
Zip
83252-1368
Phone Number
208-766-8111
Fax Number
208-766-8111
person
Provider Business Mailing Address Details
Address
148 E 50 S
City
Malad City
State
Idaho
Zip
83252-1368
Phone Number
208-766-8111
Fax Number
208-766-8111
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHIA-837 (Idaho)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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