Organization
NEVILLE SPINAL BALANCE PLLC
Active
Organization
NEVILLE SPINAL BALANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVER NEVILLE D.C. (OWNER)
(208) 522-3130
Entity
Organization
Contact information
Practice address
2145 WEST BROADWAY STREET, IDAHO FALLS, ID 83402-2904
(208) 522-3130
Mailing address
2145 WEST BROADWAY STREET, IDAHO FALLS, ID 83402-2904
(208) 522-3130
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CHIA-1331
ID
Other
Enumeration date
02/17/2009
Last updated
06/05/2020
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