Organization
EAST RIDGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS D WATSON DC (OWNER)
(509) 551-5365
Entity
Organization
Contact information
Practice address
1320 S AMMON RD, AMMON, ID 83406-5810
(509) 551-5365
Mailing address
1320 S AMMON RD, AMMON, ID 83406-5810
(509) 551-5365
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
12/01/2020
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