Dr Timothy Dahl Dudley, DC | |
404 E Parkcenter Blvd, Suite 170, Boise, ID 83706-7536 | |
(208) 344-3610 | |
(208) 344-4695 |
Full Name | Dr Timothy Dahl Dudley |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 404 E Parkcenter Blvd, Boise, Idaho |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528147089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA868 (Idaho) | Primary |
Provider Name | The Chiropractor |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871965657 PECOS PAC ID: 2264738418 Enrollment ID: O20160314002445 |
Mailing Address | Practice Location Address |
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Dr Timothy Dahl Dudley, DC 12808 N Schicks Rd, Boise, ID 83714-9455 Ph: () - | Dr Timothy Dahl Dudley, DC 404 E Parkcenter Blvd, Suite 170, Boise, ID 83706-7536 Ph: (208) 344-3610 |
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Dr. Benjamin Webb, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13909 W Wainwright Dr, Boise, ID 83713 Phone: 208-322-7900 | |
Dr. Gary D Musgrave, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3314 N. Cole Rd., Boise, ID 83704 Phone: 208-377-9930 Fax: 208-377-9932 | |
Dr. Luke A. Willett, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3040 N Five Mile Rd, Suite C, Boise, ID 83713 Phone: 208-321-8484 Fax: 208-321-5084 |