Individual
DR. TYSON BENJAMIN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1096 EASTLAND DR N STE 300, TWIN FALLS, ID 83301-8970
(208) 537-7246
Mailing address
1096 EASTLAND DR N STE 300, TWIN FALLS, ID 83301-8970
(208) 537-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1916
ID
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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