Individual
DR. JORDAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6200 N MEEKER PL STE 220, BOISE, ID 83713-1891
(208) 994-2931
Mailing address
6200 N MEEKER PL STE 220, BOISE, ID 83713-1891
(208) 994-2931
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1973
ID
Other
Enumeration date
11/25/2019
Last updated
05/15/2024
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