Individual
DR. JOSEPH MICHAEL PULITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1560 N CRESTMONT DR STE E, MERIDIAN, ID 83642-2178
(208) 288-1776
Mailing address
2421 W ONA ST, BOISE, ID 83705-3530
(425) 328-5273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1933
ID
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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