Individual
JAXSON LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
(208) 569-7590
Mailing address
3652 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7573
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2303
ID
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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