Organization
DOUGLAS R. SCHULTZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS RYAN SCHULTZ D.C. (CHIROPRACTOR)
(480) 340-3807
Entity
Organization
Contact information
Practice address
2285 E 25TH ST, IDAHO FALLS, ID 83404-4724
(480) 340-3807
Mailing address
2285 E 25TH ST, IDAHO FALLS, ID 83404-4724
(480) 340-3807
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
CHIA-1634
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164605507
—
ID
Enumeration date
08/20/2015
Last updated
03/24/2016
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