Individual
BADEN JAMES PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3110 MOLEN ST, AMMON, ID 83406-7655
(208) 360-7711
(208) 232-0108
Mailing address
3110 MOLEN ST, AMMON, ID 83406-7655
(208) 360-7711
(208) 232-0108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1524
ID
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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