Individual
DR. DEE SCOTT STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
725 JENSEN GROVE DR, BLACKFOOT, ID 83221-1636
(208) 785-0270
(208) 785-0683
Mailing address
725 JENSEN GROVE DR, BLACKFOOT, ID 83221-1636
(208) 785-0270
(208) 785-0683
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1502
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471931437
TAX ID
ID
01
—
ZIR91475
TRADING PARTNER
ID
Enumeration date
05/19/2006
Last updated
12/07/2016
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