Preston Chiropractic Clinic, Inc.

NPI #1275849119 in Preston, Idaho

Provider Information

NPI Number: 1275849119
Entity Type: Organization
Organization Name: Preston Chiropractic Clinic, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Aug 30, 2010
Last Updated: Dec 1, 2011

Practice Location

Address: 122 N STATE ST
City: Preston
State: Idaho
ZIP Code: 83263-1143
Phone: (208) 852-0083

Authorized Official

Name: DR. LEONARD E. WARD, D.C.
Title: OWNER
Phone: (208) 852-0083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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