Organization
ALTERNATIVE MEDICINE AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN R DEVELLE DC (MANAGER)
(208) 888-5951
Entity
Organization
Contact information
Practice address
450 S MERIDIAN RD STE 95, MERIDIAN, ID 83642-4537
(208) 888-5951
Mailing address
5975 W OVERLAND RD, BOISE, ID 83709-3012
(208) 888-5951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA 1167
ID
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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