Individual
DR. ADAM M AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2320 E GALA ST STE 300, MERIDIAN, ID 83642-4880
(208) 895-0317
Mailing address
2320 E GALA ST STE 300, MERIDIAN, ID 83642-4880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-966
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00082652
RAILROAD MC
ID
Enumeration date
12/04/2006
Last updated
07/08/2007
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