Chiropractic Spine Care, Inc.

NPI #1659436731 in Boise, Idaho

Provider Information

NPI Number: 1659436731
Entity Type: Organization
Organization Name: Chiropractic Spine Care, Inc.
Primary Specialty: Chiropractor
Enumeration Date: Dec 27, 2006
Last Updated: Oct 15, 2008

Practice Location

Address: 10108 W OVERLAND RD
Address 2: STE. B
City: Boise
State: Idaho
ZIP Code: 83709-1428
Phone: (208) 323-8600

Authorized Official

Name: DR. MICAH L RANDALL, DC
Title: OWNER
Phone: (208) 323-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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