Individual
DR. DAX SIRUCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, DACNB
Contact information
Practice address
3080 E GENTRY WAY, 110, MERIDIAN, ID 83642-3544
(208) 345-7262
(208) 343-1953
Mailing address
3080 E GENTRY WAY, 110, MERIDIAN, ID 83642-3544
(208) 345-7262
(208) 343-1953
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIA-1276
ID
Other
Enumeration date
11/28/2007
Last updated
06/21/2011
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