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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