Ruddell Chiropractic Clinic

NPI #1225235906 in Lewiston, Idaho

Provider Information

NPI Number: 1225235906
Entity Type: Organization
Organization Name: Ruddell Chiropractic Clinic
Primary Specialty: Chiropractor
Enumeration Date: Jun 27, 2007
Last Updated: Mar 20, 2017

Practice Location

Address: 1117 16TH AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-3739
Phone: (208) 743-8401

Authorized Official

Name: DR. BRIAN T RUDDELL, D.C.
Title: CHIROPRACTOR
Phone: (208) 743-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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