Individual
DR. F. BLAKE AMBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC.,DACNB
Contact information
Practice address
1327 W SUPERIOR ST STE 103, SANDPOINT, ID 83864-2742
(208) 946-5888
(208) 920-6004
Mailing address
1327 W SUPERIOR ST STE 103, SANDPOINT, ID 83864-2742
(208) 946-5888
(208) 920-6004
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
19037
CA
111NN0400X
Neurology Chiropractor
CH61009706
WA
111NN0400X
Neurology Chiropractor
CHIA-1724
ID
Other
Enumeration date
05/15/2006
Last updated
05/19/2020
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