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Individual

DR. RONALD BLAZE WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
326 S EUCLID AVE, SANDPOINT, ID 83864-1613
(208) 263-7411
(208) 255-4578
Mailing address
206 N 2ND AVE, SANDPOINT, ID 83864-1419
(208) 263-7411
(208) 255-4578

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-599
ID

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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