Organization
ZAO CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DYLAN ROY DC (OWNER)
(620) 682-5780
Entity
Organization
Contact information
Practice address
5632 W STATE STREET, BOISE, ID 83703
(208) 391-3974
Mailing address
5632 W STATE STREET, BOISE, ID 83703
(208) 391-3974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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