Awic, P.c.

NPI #1346436359 in Boise, Idaho

Provider Information

NPI Number: 1346436359
Entity Type: Organization
Organization Name: Awic, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Sep 24, 2007
Last Updated: Jan 4, 2010

Practice Location

Address: 3211 N MILWAUKEE ST
City: Boise
State: Idaho
ZIP Code: 83704-4446
Phone: (208) 375-2225

Authorized Official

Name: DR. ANDREW C KIDDER, DC
Title: MANAGING PARTNER
Phone: (208) 375-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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