Grand Teton Chiropractic, P.c.

NPI #1679519193 in Idaho Falls, Idaho

Provider Information

NPI Number: 1679519193
Entity Type: Organization
Organization Name: Grand Teton Chiropractic, P.c.
Primary Specialty: Chiropractor
Enumeration Date: Jun 22, 2006
Last Updated: Feb 10, 2014

Practice Location

Address: 1220 E 17TH ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-6147
Phone: (208) 529-1919

Authorized Official

Name: DR. JAMES C. GARDNER, D.C.
Title: PRESIDENT
Phone: (208) 529-1919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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