Organization
EASTGATE CHIROPRACTIC INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A MOORE-FISHER D.C. (PRESIDENT)
(208) 743-0231
Entity
Organization
Contact information
Practice address
1132 BURRELL AVE, LEWISTON, ID 83501-7101
(208) 743-0231
(208) 746-7462
Mailing address
1132 BURRELL AVE, LEWISTON, ID 83501-7101
(208) 743-0231
(208) 746-7462
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1051
ID
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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