Organization
MERIDIAN CHIROPRACTIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID V JESSOP JR. D.C. (OWNER/CHIROPRACTOR)
(208) 888-5858
Entity
Organization
Contact information
Practice address
323 W PINE AVE, MERIDIAN, ID 83642-2238
(208) 888-5858
Mailing address
323 W PINE AVE, MERIDIAN, ID 83642-2238
(208) 220-3666
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1514
ID
Other
Enumeration date
08/15/2012
Last updated
01/09/2013
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