East Ridge Chiropractic

NPI #1780290981 in Ammon, Idaho

Provider Information

NPI Number: 1780290981
Entity Type: Organization
Organization Name: East Ridge Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Sep 22, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 1320 S AMMON RD
City: Ammon
State: Idaho
ZIP Code: 83406-5810
Phone: (509) 551-5365

Authorized Official

Name: DR. LUCAS D WATSON, DC
Title: OWNER
Phone: (509) 551-5365

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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