Individual
DR. CARY KRUSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
178 E QUINN RD, POCATELLO, ID 83201-3502
(208) 237-4223
(208) 237-2011
Mailing address
178 E QUINN RD, POCATELLO, ID 83201-3502
(208) 237-4223
(208) 237-2011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA779
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806792100
—
ID
Enumeration date
03/22/2007
Last updated
09/22/2009
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