Individual
DR. ROBERT E THIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
501 W GROVE ST, BOISE, ID 83702-5925
(208) 375-0007
(208) 658-0578
Mailing address
501 W GROVE ST, BOISE, ID 83702-5925
(208) 375-0007
(208) 658-0578
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C785
ID
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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