Upper Cervical Clinics of Idaho
NPI #1316113368 in Meridian, Idaho
Provider Information
- NPI Number
- 1316113368
- Entity Type
- Organization
- Organization Name
- Upper Cervical Clinics of Idaho
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Apr 30, 2008
Practice Location
Authorized Official
- Name
- GRAYSON BLOM, D.C.
- Title
- PRESIDENT
- Phone
- (208) 559-0541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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