Individual
DR. CLIFTON CHOONG-SHIN ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
285 E 4TH N, MOUNTAIN HOME, ID 83647-2716
(208) 587-3345
(208) 587-7473
Mailing address
130 WAR EAGLE DR, MOUNTAIN HOME, ID 83647-3784
(208) 587-4106
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-988
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010144146
REGENCE BLUE SHIELD
ID
01
—
C3530
BLUE CROSS OF IDAHO
ID
Enumeration date
02/27/2007
Last updated
07/08/2007
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