Organization
TRAVIS D. BROUGHTON
Active
Other names
Disk and Spine Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS DERRILL BROUGHTON D.C. (OWNER/PRESIDENT)
(509) 220-0872
Entity
Organization
Contact information
Practice address
223 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 215-3261
(208) 966-4284
Mailing address
223 W IRONWOOD DR, COEUR D ALENE, ID 83814-2651
(208) 215-3261
(208) 966-4284
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
05/09/2014
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