Blue Mtn Chiropractic

NPI #1194873471 in Meridian, Idaho

Provider Information

NPI Number: 1194873471
Entity Type: Organization
Organization Name: Blue Mtn Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Jan 5, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 280 E CORPORATE DR
Address 2: STE 130
City: Meridian
State: Idaho
ZIP Code: 83642-2951
Phone: (208) 846-8400

Authorized Official

Name: MR. DOUGLAS WAYNE BREWER, D.C.
Title: OWNER
Phone: (208) 846-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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