Individual
CHASE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
503 N 27TH ST, BOISE, ID 83702-4704
(208) 409-7302
Mailing address
503 N 27TH ST, BOISE, ID 83702-4704
(208) 409-7302
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1885
ID
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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