Whalio Doctors

NPI 1356480131

Clinton E. Youngberg, DC

Practitioner Chiropractor Pocatello, ID

Practice location

Address
1598 Delphic Way Suite A-2, Pocatello, ID 83201-2285
Phone
(208) 232-0220
Fax
(208) 237-9569

Registered specialties

Chiropractor Primary
Chiropractic Providers Taxonomy 111N00000X Licence CHIA-1232 (ID)

Registry record

NPI
1356480131
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Feb 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.