Individual
DILLON JADE MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1299 E IRON EAGLE DR STE 130, EAGLE, ID 83616-6869
(208) 582-3421
Mailing address
1500 S LAMAR BLVD APT 3057, AUSTIN, TX 78704-2949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2171641
ID
Other
Enumeration date
03/20/2024
Last updated
04/09/2025
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