Organization
BRUNSON CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMAN B BRUNSON D.C. (OWNER/PRESIDENT)
(208) 522-8846
Entity
Organization
Contact information
Practice address
3092 S 25TH E, IDAHO FALLS, ID 83404-6520
(208) 522-8846
Mailing address
3092 S 25TH E, IDAHO FALLS, ID 83404-6520
(208) 522-8846
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1347
ID
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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