Middleton Chiropractic LLC

NPI #1649447772 in Middleton, Idaho

Provider Information

NPI Number: 1649447772
Entity Type: Organization
Organization Name: Middleton Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 111 E MAIN ST
City: Middleton
State: Idaho
ZIP Code: 83644-5705
Phone: (208) 585-3657

Authorized Official

Name: DR. GEORGE C SQUIRE, D.C.
Title: PHYSICIAN
Phone: (208) 585-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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