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Dr. Brian T Ruddell, DC
Chiropractor in Lewiston, Idaho
NPI 1770648388

Brian T Ruddell is a Chiropractor based in Lewiston, ID. Brian T Ruddell practices in Lewiston, ID and has the professional credentials of DC. The NPI Number for Brian T Ruddell is 1770648388 and holds a License No. CHIA503 (Idaho).

The current practice location address for Brian T Ruddell is 1117 16Th Avenue, Lewiston, ID and can be reached out via phone at 208-743-8401 and via fax at 208-743-8722. You can also correspond with Brian T Ruddell through the mailing address at 1117 16TH AVENUE, LEWISTON, ID - 83501 (mailing address contact number: 208-743-8401).

Location: 1117 16Th Avenue, Lewiston, ID, 83501
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Provider Profile Details
NPI Number
1770648388
Provider Name
Brian T Ruddell
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1117 16Th Avenue, Lewiston, ID, 83501
Phone Number
208-743-8401
Fax Number
208-743-8722
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C5030 01 ID BLUESCROSS
000010018610 01 ID REGENCE
38266 01 DEPT OF LABOR AND INDUSTR
institution
Provider Business Practice Location Address Details
Address
1117 16Th Avenue
City
State
Zip
83501
Phone Number
208-743-8401
Fax Number
208-743-8722
person
Provider Business Mailing Address Details
Address
1117 16Th Avenue
City
State
Zip
83501
Phone Number
208-743-8401
Fax Number
208-743-8722
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIA503 (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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