Timothy Dahl Dudley in Boise - Chiropractor
Timothy Dahl Dudley - NPI 1528147089
Timothy Dahl Dudley is a Chiropractor in Boise, Idaho. Timothy Dahl Dudley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Timothy Dahl Dudley is 1528147089. The last update date is 2007-07-08.
Timothy Dahl Dudley's current location address is 404 E Parkcenter Blvd, Boise, Idaho. You can contact this provider via phone number 2083443610 and fax number 2083444695. The mailing address for Timothy Dahl Dudley is 404 E Parkcenter Blvd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Dahl Dudley |
|---|---|
| Address | 404 E Parkcenter Blvd, Boise, Idaho |
| Phone Number | 2083443610 |
| Fax Number | 2083444695 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1528147089 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 404 E Parkcenter Blvd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837067536 |
| Phone Number | 2083443610 |
| Fax Number | 2083444695 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIA868 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Timothy Dahl Dudley's 1528147089?
The Timothy Dahl Dudley's NPI (National Provider Identifier) Number is 1528147089. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Timothy Dahl Dudley's physical address?
The Timothy Dahl Dudley is physically located at 404 E Parkcenter Blvd, in the city of Boise, ID, with the postal code 837067536.
What is Timothy Dahl Dudley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy Dahl Dudley's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
When was the Timothy Dahl Dudley's 1528147089 issued?
The Timothy Dahl Dudley's 1528147089 was issued on 2006-11-03.
When was the information pertaining to Timothy Dahl Dudley most recently updated or revised?
The details related to Timothy Dahl Dudley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.