Individual
DR. ANDREW ROSTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9161 W BLACK EAGLE DR, BOISE, ID 83709-1572
(208) 322-7755
(208) 321-4418
Mailing address
9161 W BLACK EAGLE DR, BOISE, ID 83709-1572
(208) 322-7755
(208) 321-4418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1482
ID
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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