Organization
HAUG CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W HAUG DC (OWNER)
(208) 882-3012
Entity
Organization
Contact information
Practice address
102 S WASHINGTON ST, MOSCOW, ID 83843-2842
(208) 882-3012
(208) 882-0396
Mailing address
1116 PINE CREST RD, MOSCOW, ID 83843-7444
(208) 882-8112
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CHIA-575
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8M103
BLUE CROSS IDAHO GROUP #
ID
Enumeration date
12/28/2006
Last updated
03/24/2010
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