Idaho Chiropractic Group, Pllc

NPI #1639280712 in Boise, Idaho

Provider Information

NPI Number: 1639280712
Entity Type: Organization
Organization Name: Idaho Chiropractic Group, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 403 S 11TH ST
Address 2: SUITE #110
City: Boise
State: Idaho
ZIP Code: 83702-6968
Phone: (208) 343-6900

Authorized Official

Name: JULIE CAREAGA
Title: BILLING MANAGER
Phone: (208) 343-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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