Eastgate Chiropractic Incorporated

NPI #1942575477 in Lewiston, Idaho

Provider Information

NPI Number: 1942575477
Entity Type: Organization
Organization Name: Eastgate Chiropractic Incorporated
Primary Specialty: Chiropractor
Enumeration Date: Mar 16, 2012
Last Updated: Mar 16, 2012

Practice Location

Address: 1132 BURRELL AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-7101
Phone: (208) 743-0231

Authorized Official

Name: JULIE A MOORE-FISHER, D.C.
Title: PRESIDENT
Phone: (208) 743-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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