Individual
DOUGLAS SCOTT FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
122 N STATE ST, PRESTON, ID 83263-1143
(208) 852-0083
Mailing address
122 N STATE ST, PRESTON, ID 83263-1143
(208) 852-0083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1615
ID
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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