Organization
COUNTRY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY KRUSOFF D.C. (PRESIDENT)
(208) 237-4223
Entity
Organization
Contact information
Practice address
178 E QUINN RD, POCATELLO, ID 83201-3502
(208) 237-4223
(208) 237-2011
Mailing address
178 E QUINN RD, POCATELLO, ID 83201-3502
(208) 237-4223
(208) 237-2011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA779
ID
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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