NPI 1093975302

Sirucek Chiropractic Neurology Clinic, INC.

Organisation Neurology Chiropractor Meridian, ID

Practice location

Address: 3080 E Gentry Way Suite 110, Meridian, ID 83642-3544
Phone: (208) 345-7262
Fax: (208) 343-1953

Authorised official

Name: Dax Kendrick Sirucek
Title: Owner
Phone: (208) 345-7262

Registered specialties

Neurology Chiropractor Primary

Chiropractic Providers Taxonomy 111NN0400X Licence CHIA1276 (ID)

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Registry record

NPI: 1093975302
Entity type: Organization
NPI issued: 10 Jun 2008
Record last updated: 8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.