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Organization
SIRUCEK CHIROPRACTIC NEUROLOGY CLINIC, INC.
Active
Organization
SIRUCEK CHIROPRACTIC NEUROLOGY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAX KENDRICK SIRUCEK DC, DACNB (OWNER)
(208) 345-7262
Entity
Organization
Contact information
Practice address
3080 E GENTRY WAY, SUITE 110, MERIDIAN, ID 83642-3544
(208) 345-7262
(208) 343-1953
Mailing address
3080 E GENTRY WAY, SUITE 110, MERIDIAN, ID 83642-3544
(208) 345-7262
(208) 343-1953
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIA1276
ID
Other
Enumeration date
06/10/2008
Last updated
02/08/2012
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