Individual
DR. ANTHONY JAMES SIRUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
263 2ND AVE N, TWIN FALLS, ID 83301-6117
(208) 733-5555
(208) 733-0687
Mailing address
263 2ND AVE N, TWIN FALLS, ID 83301-6117
(208) 733-5555
(208) 733-0687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C-436
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010018812
BLUE SHIELD OF IDAHO
ID
01
—
C4363
BLUE CROSS
ID
Enumeration date
06/27/2006
Last updated
07/08/2007
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