Eagle Chiropractic PC

NPI #1720188857 in Eagle, Idaho

Provider Information

NPI Number: 1720188857
Entity Type: Organization
Organization Name: Eagle Chiropractic PC
Subpart: Yes (part of a larger organization)
Parent Organization: SHAWN NORD
Primary Specialty: Clinic/Center
Enumeration Date: Sep 25, 2006
Last Updated: Oct 11, 2019

Practice Location

Address: 5337 S STATE ST
City: Eagle
State: Idaho
ZIP Code: 83616-4313
Phone: (208) 939-9195

Authorized Official

Name: SHERRY LYNN NORD
Title: SECRETARY
Phone: (208) 939-9195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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