Individual
RICHARD MASON STEWART III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1643 E TANGO LN UNIT 157, POST FALLS, ID 83854-0100
(208) 252-5052
Mailing address
1643 E TANGO LN UNIT 157, POST FALLS, ID 83854-0100
(385) 335-3416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11659095-1202
UT
111N00000X
Chiropractor
CH61168348
WA
111N00000X
Chiropractor
Primary
CHIA-1968
ID
111NS0005X
Sports Physician Chiropractor
116590951202
UT
Other
Enumeration date
06/02/2020
Last updated
05/05/2023
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