Individual
DUSTIN DAVID ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 E WYTHE CREEK CT STE 102, KUNA, ID 83634-5006
(208) 922-4908
(208) 922-4909
Mailing address
757 E WYTHE CREEK CT STE 102, KUNA, ID 83634-5006
(208) 922-4908
(208) 922-4909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1734
ID
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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