Dr Michael Todd Daglen, DC | |
5246 N Eagle Rd, Boise, ID 83713-0945 | |
(208) 939-3000 | |
Not Available |
Full Name | Dr Michael Todd Daglen |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 13 Years |
Location | 5246 N Eagle Rd, Boise, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720377633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-1978 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fletcher Chiropractic Pllc | 1557532413 | 2 |
Provider Name | Fletcher Chiropractic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780899054 PECOS PAC ID: 1557532413 Enrollment ID: O20110926000424 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Todd Daglen, DC 16080 Horizon Dr, Caldwell, ID 83607-8298 Ph: (541) 554-6658 | Dr Michael Todd Daglen, DC 5246 N Eagle Rd, Boise, ID 83713-0945 Ph: (208) 939-3000 |
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