Dudley Chiropractic P.a. | |
13965 W Chinden Blvd Ste 210, Boise, ID 83713-1457 | |
(208) 344-3610 | |
(208) 417-1888 |
Full Name | Dudley Chiropractic P.a. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 13965 W Chinden Blvd Ste 210, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467897405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIA-868 (Idaho) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Ryan Ballard Weed |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386966315 PECOS PAC ID: 1456579515 Enrollment ID: I20140902002095 |
Mailing Address | Practice Location Address |
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Dudley Chiropractic P.a. 13965 W Chinden Blvd Ste 210, Boise, ID 83713-1457 Ph: (208) 266-7000 | Dudley Chiropractic P.a. 13965 W Chinden Blvd Ste 210, Boise, ID 83713-1457 Ph: (208) 344-3610 |
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