Organization
CONVERGENCE CHIROPRACTIC COMPANY
Active
Other names
Revolution Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRANT BARKER DC, MS (CHIROPRACTIC PHYSICIAN)
(505) 504-2174
Entity
Organization
Contact information
Practice address
404 E PARKCENTER BLVD STE 170, BOISE, ID 83706-7564
(505) 504-2174
Mailing address
404 E PARKCENTER BLVD STE 170, BOISE, ID 83706-7564
(505) 504-2174
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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