Individual
GREGORY BARTHOLOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
219 IDAHO ST, AMERICAN FALLS, ID 83211-1235
(208) 705-9992
Mailing address
2893 W 2200 S, ABERDEEN, ID 83210-1850
(208) 221-5301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1998
ID
Other
Enumeration date
10/25/2021
Last updated
11/08/2021
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