Individual
DR. JAMES CRIDDLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1220 E 17TH ST, IDAHO FALLS, ID 83404-6147
(208) 529-1919
(208) 552-9447
Mailing address
4317 AMBER LN, AMMON, ID 83406-4640
(208) 529-1919
(208) 552-9447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-904
ID
Other
Enumeration date
06/03/2006
Last updated
01/12/2016
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