Individual
DR. DAVID L BRAMWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.B.C.O.
Contact information
Practice address
402 SHOUP AVE, IDAHO FALLS, ID 83402-3603
(208) 529-2057
(208) 529-6857
Mailing address
402 SHOUP AVE, IDAHO FALLS, ID 83402-3603
(208) 529-2057
(208) 529-6857
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
C-465
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010008956
REGENCE BLUE SHIELD
ID
01
—
C9172
BLUE CROSS
ID
01
—
CHIA-465
LICENSE
ID
Enumeration date
02/23/2007
Last updated
06/13/2008
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