Individual
DR. BRADY MATTHEW WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,C,
Contact information
Practice address
1515 ASHMENT AVE STE 2, IDAHO FALLS, ID 83404-5802
(208) 218-8622
Mailing address
1515 ASHMENT AVE STE 2, IDAHO FALLS, ID 83404-5802
(208) 218-8622
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIA1203
ID
Other
Enumeration date
09/04/2006
Last updated
09/12/2025
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