Broadway Chiropractic Center Professional Association

NPI #1487794541 in Boise, Idaho

Provider Information

NPI Number: 1487794541
Entity Type: Organization
Organization Name: Broadway Chiropractic Center Professional Association
Primary Specialty: Chiropractor
Enumeration Date: Feb 7, 2007
Last Updated: Jan 27, 2011

Practice Location

Address: 1149 W BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-3503
Phone: (208) 345-3630

Authorized Official

Name: DR. DONALD D RAE, D.C.
Title: OWNER/ PRESIDENT
Phone: (208) 345-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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