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Organization

SHORTS FAMILY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT SHORT DC (OWNER)
(740) 525-0120
Entity
Organization

Contact information

Practice address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(740) 525-0120
Mailing address
619 S WASHINGTON ST STE 202, MOSCOW, ID 83843-3063
(740) 525-0120

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205470754
NPPES
Enumeration date
10/28/2019
Last updated
10/28/2019
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