Personal Care Chiropractic Clinics P A | |
1319 W River St, Boise, ID 83702-6857 | |
(208) 375-0007 | |
(208) 658-0578 |
Full Name | Personal Care Chiropractic Clinics P A |
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Type | Facility |
Speciality | Chiropractor |
Location | 1319 W River St, 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 |
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1619987476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | C785 (Idaho) | Primary |
Provider Name | Robert E Thiry |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518977362 PECOS PAC ID: 7719149988 Enrollment ID: I20120504000121 |
Mailing Address | Practice Location Address |
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Personal Care Chiropractic Clinics P A 1319 W River St, Boise, ID 83702-6857 Ph: (208) 375-0007 | Personal Care Chiropractic Clinics P A 1319 W River St, Boise, ID 83702-6857 Ph: (208) 375-0007 |
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