Dixon Mooseau, D.C.

NPI #1558809558 in Boise, Idaho

Provider Information

NPI Number: 1558809558
Entity Type: Individual
Name: Dixon Mooseau, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Feb 9, 2017
Last Updated: Feb 9, 2017

Practice Location

Address: 1390 S MAPLE GROVE RD STE 200
City: Boise
State: Idaho
ZIP Code: 83709-1610
Phone: (208) 672-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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