Organization
ENERGETIC CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MYRTH MORIARTY DC (DOCTOR)
(208) 376-3113
Entity
Organization
Contact information
Practice address
1003 N ORCHARD ST, BOISE, ID 83706-2231
(208) 376-3113
(208) 376-4114
Mailing address
1003 N ORCHARD ST, BOISE, ID 83706-2231
(208) 376-3113
(208) 376-4114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-392
ID
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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