Individual
DR. FREDDIE L. SERMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1880E 17TH ST, IDAHO FALLS, ID 83404-6468
(208) 206-0237
Mailing address
777 HOOPES AVE K306, IDAHO FALLS, ID 83401-6093
(208) 206-0237
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH-679
ID
Other
Enumeration date
01/08/2007
Last updated
10/23/2015
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