Organization
RIVER VALLEY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DELANE SMITH D.C. (DOCTOR OF CHIROPRACTIC/OWNER)
(208) 643-9023
Entity
Organization
Contact information
Practice address
34 SE MAIN ST, BLACKFOOT, ID 83221-5094
(208) 643-9023
(208) 643-9025
Mailing address
PO BOX 853, BLACKFOOT, ID 83221-0853
(208) 643-9023
(208) 643-9025
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598101370
INDIVIDUAL NPI NUMBER
ID
Enumeration date
08/05/2013
Last updated
08/06/2013
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