Organization
KEYSTONE OF HEALTH CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD PERRY D.C. (MANAGER)
(563) 676-7984
Entity
Organization
Contact information
Practice address
10998 W BOX CANYON ST, STAR, ID 83669-5691
(563) 676-7984
Mailing address
10998 W BOX CANYON ST, STAR, ID 83669-5691
(563) 676-7984
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1376
ID
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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