Individual
DR. DEVIN P SCORESBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2677 E 17TH ST STE 500, AMMON, ID 83406-6613
(208) 881-0686
(208) 538-0034
Mailing address
2677 E 17TH ST STE 500, AMMON, ID 83406-6613
(208) 881-0686
(208) 538-0034
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1312
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649418500
—
ID
Enumeration date
01/30/2009
Last updated
06/06/2021
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