Sirucek Chiropractic Neurology Clinic, Inc.

NPI #1093975302 in Meridian, Idaho

Provider Information

NPI Number: 1093975302
Entity Type: Organization
Organization Name: Sirucek Chiropractic Neurology Clinic, Inc.
Primary Specialty: Chiropractor - Neurology
Enumeration Date: Jun 10, 2008
Last Updated: Feb 8, 2012

Practice Location

Address: 3080 E GENTRY WAY
Address 2: SUITE 110
City: Meridian
State: Idaho
ZIP Code: 83642-3544
Phone: (208) 345-7262

Authorized Official

Name: DR. DAX KENDRICK SIRUCEK, DC, DACNB
Title: OWNER
Phone: (208) 345-7262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Neurology — Neurology	111NN0400X	Primary

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