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Organization

BACK 2 WORK CLINICS

Active
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Organization

BACK 2 WORK CLINICS

Active
Other names
Back 2 Work
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XAVIER A ORTIZ RAMIREZ DC (CEO)
(208) 965-2262
Entity
Organization

Contact information

Practice address
950 E RIVERSIDE DR, EAGLE, ID 83616-6020
(208) 965-2262
(208) 963-3299
Mailing address
PO BOX 382, MERIDIAN, ID 83680-0382
(208) 576-4696
(208) 963-3299

Taxonomy

Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
261QC1800X
Corporate Health Clinic/Center
261QH0100X
Health Service Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
07/29/2020
Last updated
10/29/2020
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