Organization
GREGORY V PARSONS PA
Active
Other names
Advanced Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY V PARSONS DC (OWNER/DOCTOR)
(208) 765-6804
Entity
Organization
Contact information
Practice address
1122 S PONDEROSA DR, COEUR D ALENE, ID 83814-8537
(208) 765-6804
(888) 338-4609
Mailing address
1122 S PONDEROSA DR, COEUR D ALENE, ID 83814-8537
(208) 765-6804
(888) 338-4609
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006910
BLUE SHIELD
—
01
—
1374336
MEDICARE GROUP ID
—
01
—
350042012
MEDICARE RAILROAD
—
01
—
50389
WASHINGTON LABOR AND INDU
—
01
—
C1476
BLUE CROSS
—
Enumeration date
07/25/2007
Last updated
01/11/2019
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