Organization
MOSCOW CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SANDELL D.C. (OWNER)
(208) 882-8534
Entity
Organization
Contact information
Practice address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-8534
(208) 882-6866
Mailing address
325 W 3RD ST, MOSCOW, ID 83843-2204
(208) 882-8534
(208) 882-6866
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-357
ID
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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