Organization
SUNRISE RIDGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYREL KEVIN WARD DC (CHIROPRACTOR)
(208) 944-2399
Entity
Organization
Contact information
Practice address
218 FALLS AVE STE A, TWIN FALLS, ID 83301-3372
(208) 944-2399
(208) 944-0994
Mailing address
1949 CANYON TRAIL WAY, TWIN FALLS, ID 83301-0278
(208) 521-4785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
TCHI-1824
ID
Other
Enumeration date
03/08/2018
Last updated
02/14/2023
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