Individual
CLINTON E. YOUNGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1598 DELPHIC WAY, SUITE A-2, POCATELLO, ID 83201-2285
(208) 232-0220
(208) 237-9569
Mailing address
1598 DELPHIC WAY, SUITE A-2, POCATELLO, ID 83201-2285
(208) 232-0220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1232
ID
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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