Grand Teton Chiropractic, Pllc
NPI #1891880779 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1891880779
- Entity Type
- Organization
- Organization Name
- Grand Teton Chiropractic, Pllc
- Primary Specialty
- Chiropractor
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1387 CAMBRIDGE DR
- Address 2
- SUITE 100
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4257
- Phone
- (208) 529-1919
Authorized Official
- Name
- DR. JAMES CRIDDLE GARDNER, D.C.
- Title
- OWNER/MANAGER
- Phone
- (208) 529-1919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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