DR. Manfred Ross Stockwell, DC

NPI #1053558973 in Boise, Idaho

Provider Information

NPI Number: 1053558973
Entity Type: Individual
Name: DR. Manfred Ross Stockwell, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 5027 CREE WAY
City: Boise
State: Idaho
ZIP Code: 83709-5344
Phone: (208) 362-6530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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