NPI 1003087156

Edward Reza, DC

Practitioner Chiropractor Boise, ID

Practice location

Address: 8631 W Ardene St, Boise, ID 83709-2601
Phone: (208) 629-1904
Fax: (208) 545-1846

Registered specialties (2)

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 8161070 (ID)

Other Chiropractor providers in Idaho →

Rehabilitation Chiropractor

Chiropractic Providers Taxonomy 111NR0400X Licence DC28729 (CA)

Registry record

NPI: 1003087156
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2008
Record last updated: 9 Oct 2024

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.