Organization
FLETCHER CHIROPRACTIC PLLC
Active
Other names
Fletcher Chiropractic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID FLETCHER DC (OWNER)
(208) 939-3000
Entity
Organization
Contact information
Practice address
5246 N EAGLE RD, BOISE, ID 83713-0945
(208) 939-3000
(208) 939-3030
Mailing address
5246 N EAGLE RD, BOISE, ID 83713
(208) 939-3000
(208) 939-3030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
877
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010028569
REGENCE BLUE SHIELD
ID
01
—
C9362
BLUE CROSS
ID
Enumeration date
05/11/2007
Last updated
07/21/2022
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