Energetic Chiropractic PC

NPI #1417040031 in Boise, Idaho

Provider Information

NPI Number: 1417040031
Entity Type: Organization
Organization Name: Energetic Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Oct 2, 2006
Last Updated: Jan 4, 2012

Practice Location

Address: 1003 N. ORCHARD STREET
City: Boise
State: Idaho
ZIP Code: 83706-2231
Phone: (208) 376-3113

Authorized Official

Name: DR. MICHAEL MYRTH MORIARTY, D.C.
Title: OWNER/PRESIDENT
Phone: (208) 376-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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