Neville Spinal Balance Pllc

NPI #1104065093 in Idaho Falls, Idaho

Provider Information

NPI Number: 1104065093
Entity Type: Organization
Organization Name: Neville Spinal Balance Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Feb 17, 2009
Last Updated: Jun 5, 2020

Practice Location

Address: 2145 WEST BROADWAY STREET
City: Idaho Falls
State: Idaho
ZIP Code: 83402-2904
Phone: (208) 522-3130

Authorized Official

Name: TREVER NEVILLE, D.C.
Title: OWNER
Phone: (208) 522-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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