Individual
MATTHEW PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
Mailing address
5815 N MOUNT CARROL ST, DALTON GARDENS, ID 83815-9620
(208) 277-7541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2302
ID
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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