Moscow Chiropractic Clinic

NPI #1134253362 in Moscow, Idaho

Provider Information

NPI Number: 1134253362
Entity Type: Organization
Organization Name: Moscow Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Mar 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 325 W 3RD ST
City: Moscow
State: Idaho
ZIP Code: 83843-2204
Phone: (208) 882-8534

Authorized Official

Name: JOHN R SANDELL, D.C.
Title: OWNER
Phone: (208) 882-8534

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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