Active Chiropractic, PC

NPI #1679724330 in Boise, Idaho

Provider Information

NPI Number: 1679724330
Entity Type: Organization
Organization Name: Active Chiropractic, PC
Primary Specialty: Chiropractor
Enumeration Date: Sep 30, 2008
Last Updated: Feb 18, 2010

Practice Location

Address: 1521 E BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-5064
Phone: (208) 345-3320

Authorized Official

Name: DR. JASON WATSON, DC
Title: PRESIDENT
Phone: (208) 345-3320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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