NPI 1326414673

Douglas R. Schultz

Organisation Preferred Provider Organization Idaho Falls, ID

Practice location

Address: 2285 E 25th St, Idaho Falls, ID 83404-4724
Phone: (480) 340-3807

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: 1326414673
Entity type: Organization
NPI issued: 20 Aug 2015
Record last updated: 24 Mar 2016

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.