Staker Chiropractic PC

NPI #1801118427 in Idaho Falls, Idaho

Provider Information

NPI Number: 1801118427
Entity Type: Organization
Organization Name: Staker Chiropractic PC
Primary Specialty: Chiropractor
Enumeration Date: Feb 23, 2010
Last Updated: Feb 23, 2010

Practice Location

Address: 976 JOHN ADAMS PKWY
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4049
Phone: (208) 522-5546

Authorized Official

Name: DR. GERALD D STAKER, D.C.
Title: PRESIDENT
Phone: (208) 522-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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