Individual
DR. EDWARD REZA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
(208) 545-1846
Mailing address
8631 W ARDENE ST, BOISE, ID 83709-2601
(208) 629-1904
(208) 545-1846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8161070
ID
111NR0400X
Rehabilitation Chiropractor
DC28729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC28729
CHIROPRACTIC LICENSE
CA
Enumeration date
03/17/2008
Last updated
10/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us