Whalio Doctors

NPI 1134279565

Brad Richard Egbert, DC

Practitioner Chiropractor Rexburg, ID

Practice location

Address
1134 Bond Ave, Rexburg, ID 83440-3582
Phone
(208) 356-8818
Fax
(208) 356-0458

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence 820418684 (ID)

Registry record

NPI
1134279565
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2007
Record last updated
8 Jul 2007

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.