Country Chiropractic Inc.

NPI #1962529149 in Pocatello, Idaho

Provider Information

NPI Number: 1962529149
Entity Type: Organization
Organization Name: Country Chiropractic Inc.
Primary Specialty: Chiropractor
Enumeration Date: Mar 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 178 E QUINN RD
City: Pocatello
State: Idaho
ZIP Code: 83201-3502
Phone: (208) 237-4223

Authorized Official

Name: DR. CARY KRUSOFF, D.C.
Title: PRESIDENT
Phone: (208) 237-4223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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