Individual
DR. AFSHIN MOFID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
880 N CURTIS RD, BOISE, ID 83706-1306
(208) 323-1810
(208) 323-1439
Mailing address
324 GREENSBORO CT, BOISE, ID 83706-5238
(208) 345-7956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-918
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142632
BLUE SHIELD OF IDAHO
ID
01
—
C-5097
BLUE CROSS OF IDAHO
ID
Enumeration date
10/03/2006
Last updated
07/08/2007
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