UPPER CERVICAL CLINICS OF IDAHO

MERIDIAN, ID
NPI1316113368
Entity TypeOrganization
Authorized ContactGRAYSON BLOM
President
208-559-0541
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: ID  CHIA-1297)
Enumeration Date2008-04-30
Last Update Date2008-04-30
Business Address
UPPER CERVICAL CLINICS OF IDAHO
3023 E COPPER POINT DR STE 104
MERIDIAN, ID 83642-1740
Phone number: 208-559-0541
Mailing Address
UPPER CERVICAL CLINICS OF IDAHO
3211 CAMROSE LN
BOISE, ID 83706-2710
Phone number: