Bear River Chiropractic, LLC

NPI #1760617765 in Soda Springs, Idaho

Provider Information

NPI Number: 1760617765
Entity Type: Organization
Organization Name: Bear River Chiropractic, LLC
Primary Specialty: Chiropractor
Enumeration Date: May 19, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 45 W CENTER ST
City: Soda Springs
State: Idaho
ZIP Code: 83276-1530
Phone: (208) 547-4518

Authorized Official

Name: DR. JARED SHELTON, DC
Title: MANAGER
Phone: (208) 547-4518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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