Individual
DR. DEREK C CALAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
661 S WOODRUFF AVE, IDAHO FALLS, ID 83401-3362
(208) 206-1588
Mailing address
661 S WOODRUFF AVE, IDAHO FALLS, ID 83401-3362
(208) 206-1588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1871
ID
Other
Enumeration date
07/18/2018
Last updated
07/18/2019
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