Country Doctor Chartered

NPI #1104943612 in Challis, Idaho

Provider Information

NPI Number: 1104943612
Entity Type: Organization
Organization Name: Country Doctor Chartered
Primary Specialty: Chiropractor
Enumeration Date: Mar 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1148 12TH ST
City: Challis
State: Idaho
ZIP Code: 83226
Phone: (208) 879-2550

Authorized Official

Name: DR. CYNTHIA L. RATHMANN, D.C.
Title: PRESIDENT
Phone: (208) 879-2550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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