Eastern Idaho Chiropractic Clinic PA
NPI #1588732523 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1588732523
- Entity Type
- Organization
- Organization Name
- Eastern Idaho Chiropractic Clinic PA
- Primary Specialty
- Chiropractor
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Dec 18, 2015
Practice Location
- Address
- 2585 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7516
- Phone
- (208) 522-0200
Authorized Official
- Name
- DR. LARRY DEAN NELSON, D.C.N.M.D
- Title
- CHIROPRACTIC NATUROPATHIC MEDICAL
- Phone
- (208) 522-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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