Individual
DR. MICHAEL DAVID EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
645 N STATE ST, PRESTON, ID 83263
(435) 554-8827
(435) 569-0293
Mailing address
645 N STATE ST, PRESTON, ID 83263-1153
(435) 554-8827
(435) 569-0293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-1544
ID
111NS0005X
Sports Physician Chiropractor
Primary
CHIA-1544
ID
Other
Enumeration date
09/28/2012
Last updated
03/04/2019
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