NPI 1235670704

Douglas R. Schultz

Organisation Preferred Provider Organization Rexburg, ID

Practice location

Address: 859 S Yellowstone Hwy STE 301, Rexburg, ID 83440-5321
Phone: (480) 340-3807
Fax: (208) 356-6160

Authorised official

Name: Douglas Ryan Schultz
Title: Chiropractor
Phone: (480) 340-3807

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence CHIA-1634 (ID)

Other Preferred Provider Organization providers in Idaho →

Registry record

NPI: 1235670704
Entity type: Organization
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

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.