Johnson Family Chiropractic & Sports Clinic Pllc

NPI #1679058093 in Pocatello, Idaho

Provider Information

NPI Number
1679058093
Entity Type
Organization
Organization Name
Johnson Family Chiropractic & Sports Clinic Pllc
Primary Specialty
Chiropractor
Enumeration Date
Oct 2, 2018
Last Updated
Oct 2, 2018

Practice Location

Address
2745 POLE LINE RD
State
Idaho
ZIP Code
83201-6111
Phone
(208) 234-2225

Authorized Official

Name
GARY L JOHNSON, DC
Title
OWNER
Phone
(208) 234-2225

Specialties & Taxonomy Codes

Specialty
Chiropractor

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