Individual
MR. JACKSON CLAY SHUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
645 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
(208) 552-9886
(208) 718-9847
Mailing address
645 S. WOODRUFF AVE, IDAHO FALLS, ID 83401
(208) 552-9886
(208) 718-9847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2387
ID
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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