Organization
REXBURG CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA R MILLER D.C. (OWNER)
(208) 356-6772
Entity
Organization
Contact information
Practice address
105 W MAIN ST, REXBURG, ID 83440-2634
(208) 356-6772
(208) 356-8658
Mailing address
105 W MAIN ST, REXBURG, ID 83440-2634
(208) 356-6772
(208) 356-8658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH1A39
ID
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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