Organization
EDWARDS CHIROPRACTIC OFFICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL ROBERT EDWARDS D.C. (PRESIDENT)
(208) 467-7600
Entity
Organization
Contact information
Practice address
3904 E FLAMINGO AVE, NAMPA, ID 83687-3102
(208) 467-7600
(208) 467-7623
Mailing address
3904 E FLAMINGO AVE, NAMPA, ID 83687-3102
(208) 467-7600
(208) 467-7623
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C402
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952426520
NPI INDIVIDUAL
ID
Enumeration date
11/22/2010
Last updated
11/22/2010
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