Organization
FOOTHILLS CHIROPRACTIC CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL RAY PRIDEAUX DC (PRESIDENT)
(406) 721-4425
Entity
Organization
Contact information
Practice address
1001 SW HIGGINS AVE, SUITE 102, MISSOULA, MT 59803-1341
(406) 721-4425
(406) 721-4426
Mailing address
1001 SW HIGGINS AVE, SUITE 102, MISSOULA, MT 59803-1341
(406) 721-4425
(406) 721-4426
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
437
MT
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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