DR. Tyson Benjamin Long, DC

NPI #1275095101 in Twin Falls, Idaho

Provider Information

NPI Number
1275095101
Entity Type
Individual
Name
DR. Tyson Benjamin Long, DC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
DC
Enumeration Date
Apr 1, 2019
Last Updated
Apr 1, 2019

Practice Location

Address
1096 EASTLAND DR N STE 300
State
Idaho
ZIP Code
83301-8970
Phone
(208) 537-7246

Specialties & Taxonomy Codes

Specialty
Chiropractor

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