Organization
HEALTH SPECIALTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN ORTON (MANAGER)
(208) 795-5131
Entity
Organization
Contact information
Practice address
2484 N STOKESBERRY PL STE 100, MERIDIAN, ID 83646-6083
(208) 795-5131
Mailing address
2484 N STOKESBERRY PL STE 100, MERIDIAN, ID 83646-6083
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIA1421
ID
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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