Organization
ACTIVE CHIROPRACTIC, PC
Active
Other names
Active Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WATSON DC (PRESIDENT)
(208) 345-3320
Entity
Organization
Contact information
Practice address
1521 E BOISE AVE, BOISE, ID 83706-5064
(208) 345-3320
Mailing address
1521 E BOISE AVE, BOISE, ID 83706-5064
(208) 345-3320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1209
ID
Other
Enumeration date
09/30/2008
Last updated
02/18/2010
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