Organization
CHIROPRACTIC PAIN RELIEF CLINIC P A
Active
Other names
Priebe Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL P PRIEBE D.C. (OWNER)
(208) 667-7463
Entity
Organization
Contact information
Practice address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
(208) 762-6385
Mailing address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
(208) 762-6385
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-856
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805124000
—
ID
Enumeration date
06/26/2006
Last updated
10/23/2023
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