Individual
DR. BENJAMIN HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2447 S APPLE ST, BOISE, ID 83706-5169
(208) 440-7773
Mailing address
2447 S APPLE ST, BOISE, ID 83706-5169
(208) 440-7773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI8-1496
ID
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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