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NPI #1265542435 in Montpelier, Idaho

Provider Information

NPI Number
1265542435
Entity Type
Organization
Organization Name
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Primary Specialty
Chiropractor
Enumeration Date
Aug 30, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
710 N 4TH ST
State
Idaho
ZIP Code
83254-1050
Phone
(208) 847-2273

Authorized Official

Name
MATTHEW BRINTON STEVENS, D.C.
Title
PRESIDENT/OWNER
Phone
(208) 847-2273

Specialties & Taxonomy Codes

Specialty
Chiropractor

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