BACK 2 LIFE MEDICAL INC
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1033562319- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2016 S EAGLE RD, MERIDIAN, ID, 836426707
- Phone
- (208) 887-6810
- Fax
- (208) 887-6797
Specialties & Taxonomies
Chiropractor
License: ID #CHIA-874
Nurse Practitioner
Primary License: ID #NP-1639A