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Organization

WEST CHIROPRACTIC CLINIC PA

Active
Other names
The West Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JASON D WEST D.C., NMD (OWNER)
(208) 232-3216
Entity
Organization

Contact information

Practice address
1188 CALL PLACE, POCATELLO, ID 83201
(208) 232-3216
(208) 232-9412
Mailing address
1188 CALL PLACE, POCATELLO, ID 83201
(208) 232-3216
(208) 232-9412

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA1460
ID
111N00000X
Chiropractor
Primary
CHIA940
ID
208100000X
Physical Medicine & Rehabilitation Physician
ID
208D00000X
General Practice Physician
ID
363L00000X
Nurse Practitioner
ID

Other

Enumeration date
03/02/2007
Last updated
06/16/2011
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