Evolution Chiropractic

NPI #1285006403 in Idaho Falls, Idaho

Provider Information

NPI Number: 1285006403
Entity Type: Organization
Organization Name: Evolution Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Oct 27, 2015
Last Updated: Oct 27, 2015

Practice Location

Address: 1410 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6269
Phone: (208) 552-9600

Authorized Official

Name: DR. THOMAS R BENCH, D.C
Title: OWNER
Phone: (208) 552-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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