Organization
SERMON CHIROPRACTIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED L SERMON D.C. (PRESIDENT)
(208) 522-8846
Entity
Organization
Contact information
Practice address
3092 S. 25TH E., IDAHO FALLS, ID 83404
(208) 522-8846
(208) 522-0488
Mailing address
3092 S. 25TH E., IDAHO FALLS, ID 83404
(208) 522-8846
(208) 522-0488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH-679
ID
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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