Whalio Doctors

NPI 1083688030

Bob Phillip Heaton, DC

Practitioner Chiropractor Idaho Falls, ID

Practice location

Address
1320 S Ammon Road, Idaho Falls, ID 83406-5810
Phone
(208) 529-2084
Fax
(208) 529-2084
Mailing address
1320 S. Ammon Road, Idaho Falls, ID 83406-5810

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence CHIA 369 (ID)

Registry record

NPI
1083688030
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Feb 2006
Record last updated
24 Jan 2014

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.