Individual
DR. ROBERT E WARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, NMD
Contact information
Practice address
135 WARREN AVE, POCATELLO, ID 83201-4621
(208) 241-6510
(208) 234-2052
Mailing address
PO BOX 3052, POCATELLO, ID 83206-3052
(208) 221-2225
(208) 234-2052
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
508
ID
111NI0900X
Internist Chiropractor
508C
ID
111NX0800X
Orthopedic Chiropractor
508C
ID
175F00000X
Naturopath
508
ID
Other
Enumeration date
11/30/2006
Last updated
03/01/2016
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