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Individual

DR. LARRY D NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2585 CHANNING WAY, IDAHO FALLS, ID 83404-7516
(208) 522-0200
(208) 523-6051
Mailing address
2585 CHANNING WAY, IDAHO FALLS, ID 83404-7516
(208) 522-0200
(208) 523-6051

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA631
ID
175F00000X
Naturopath
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010020547
BLUE SHIELD
ID
01
350035586
PALMETTO RAILROAD
ID
01
C9453
BLUE CROSS
ID
Enumeration date
07/19/2006
Last updated
10/31/2024
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