Organization
OGATA CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TY OGATA DC (OWNER/CHIROPRACTOR)
(208) 938-3334
Entity
Organization
Contact information
Practice address
5418 N EAGLE RD, SUITE 120, BOISE, ID 83713-0998
(208) 938-3334
(208) 938-3335
Mailing address
5418 N EAGLE RD, SUITE 120, BOISE, ID 83713-0998
(208) 938-3334
(208) 938-3335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA920
ID
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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