Premier Health Systems Pllc

NPI #1891909636 in Boise, Idaho

Provider Information

NPI Number: 1891909636
Entity Type: Organization
Organization Name: Premier Health Systems Pllc
Primary Specialty: Chiropractor
Enumeration Date: May 10, 2007
Last Updated: Feb 28, 2008

Practice Location

Address: 1149 W BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-3503
Phone: (208) 345-3630

Authorized Official

Name: DR. BRIAN J RAE, D.C.
Title: DOCTOR, OWNER
Phone: (208) 345-3630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Chiropractor	111N00000X	Primary

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