John Hickey PC

NPI #1114536794 in Boise, Idaho

Provider Information

NPI Number: 1114536794
Entity Type: Organization
Organization Name: John Hickey PC
Primary Specialty: Chiropractor
Enumeration Date: Jul 29, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 376 S LATAH ST
City: Boise
State: Idaho
ZIP Code: 83705-1539
Phone: (208) 338-9111

Authorized Official

Name: JOHN HICKEY, DC
Title: CHIROPRACTOR
Phone: (208) 338-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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