Individual
DANIEL LEE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6843 MAIN ST, BONNERS FERRY, ID 83805-8552
(208) 267-2506
(208) 267-6080
Mailing address
6843 MAIN ST, BONNERS FERRY, ID 83805-8552
(208) 267-2506
(208) 267-6080
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI-822
ID
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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