Individual
RAYMOND DREW FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3405 E OVERLAND RD STE 110, MERIDIAN, ID 83642-5111
(208) 888-4646
Mailing address
9508 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 323-1313
(208) 323-1368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1802
ID
Other
Enumeration date
10/30/2017
Last updated
05/14/2025
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