Organization
BLUE MTN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WAYNE BREWER D.C. (OWNER)
(208) 846-8400
Entity
Organization
Contact information
Practice address
280 E CORPORATE DR, STE 130, MERIDIAN, ID 83642-2951
(208) 846-8400
Mailing address
280 E CORPORATE DR, STE 130, MERIDIAN, ID 83642-2951
(208) 846-8400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
ID
Other
Enumeration date
01/05/2007
Last updated
07/21/2022
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