Organization
ACTIVE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN RICHARD PERRY DC (OWNER)
(208) 968-9688
Entity
Organization
Contact information
Practice address
2973 N EAGLE RD STE 100, MERIDIAN, ID 83646-6251
(208) 968-9688
Mailing address
1002 E LEGACY VIEW DR, MERIDIAN, ID 83646-1764
(208) 968-9688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/26/2021
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