NPI 1205470754

Scott Olin Short, DC

Practitioner Chiropractor Moscow, ID

Practice location

Address: 619 S Washington St STE 202, Moscow, ID 83843-3063
Phone: (740) 525-0120

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 1969 (ID)

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Registry record

NPI: 1205470754
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2019
Record last updated: 28 Oct 2019

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.