Organization
INDIAN CREEK CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN WEAVER DC (CHIROPRACTOR)
(208) 949-5347
Entity
Organization
Contact information
Practice address
2523 S 10TH AVE STE 102, CALDWELL, ID 83605-6760
(208) 649-4321
Mailing address
2523 S 10TH AVE STE 102, CALDWELL, ID 83605-6760
(208) 649-4321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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