Organization
PREMIER SPORTS & SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY STEVEN LOVELL DC (OWNER)
(208) 360-6770
Entity
Organization
Contact information
Practice address
1320 S AMMON RD, AMMON, ID 83406-5810
(208) 360-6770
(208) 542-6353
Mailing address
1786 47TH ST, AMMON, ID 83401-6565
(208) 360-6770
(208) 542-6353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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