Individual
DR. JOHN KNOX MALTBY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1299 E IRON EAGLE DR, SUITE 130, EAGLE, ID 83616-6869
(208) 939-6100
Mailing address
1299 E IRON EAGLE DR, STE 130, EAGLE, ID 83616-6869
(208) 939-6100
(208) 425-6585
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33328
CA
111N00000X
Chiropractor
Primary
CHIA-1760
ID
Other
Enumeration date
07/01/2015
Last updated
04/24/2017
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