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Organization

IDAHO SCOLIOSIS SPECIALISTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN L CUNNINGHAM D.C. (PRESIDENT/OWNER)
(208) 888-0055
Entity
Organization

Contact information

Practice address
10751 W OVERLAND RD, SUITE A 62, BOISE, ID 83709-1375
(208) 888-0055
(208) 888-5062
Mailing address
10751 W OVERLAND RD, SUITE A 62, BOISE, ID 83709-1375
(208) 888-0055
(208) 888-5062

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
11/19/2009
Last updated
11/19/2009
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