DUDLEY CHIROPRACTIC P.A. NPI 1467897405

NPI Information

DUDLEY CHIROPRACTIC P.A. is a chiropractor in Boise, ID. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DUDLEY CHIROPRACTIC P.A. NPI is 1467897405. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 E PARKCENTER BLVD
SUITE 170
BOISE, ID
ZIP 83706-536
Phone: (208) 344-3610
Fax: (208) 344-4695

The provider's authorized official is Timothy Dahl Dudley .
The authorized official title is Owner and has the following contact phone number (208) 344-3610.

The enumeration date for this NPI number is 5/3/2013 and was last updated on 5/3/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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