Individual
JASON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1521 E BOISE AVE, BOISE, ID 83706-5064
(208) 345-3320
(208) 345-6330
Mailing address
1521 E BOISE AVE, BOISE, ID 83706-5064
(208) 345-3320
(208) 345-6330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1209
ID
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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