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Organization

SLEEPING SPINE HEALTH & WELLNESS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT C FRITZ DC (PRESIDENT)
(208) 237-2723
Entity
Organization

Contact information

Practice address
1246 YELLOWSTONE AVE STE C4, POCATELLO, ID 83201-4373
(208) 237-2723
(208) 237-2723
Mailing address
1246 YELLOWSTONE AVE STE C4, POCATELLO, ID 83201-4373
(208) 237-2723
(208) 237-2723

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1150
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10159964
REGENCE BLUE SHIELD OF IDAHO
ID
05
807411000
ID
01
C9677
BLUE CROSS OF IDAHO
ID
Enumeration date
07/16/2008
Last updated
07/16/2008
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