Individual provider · Type 1 NPI

Maria Teresa Gomez Sirucek, DC

Chiropractor · Meridian, ID

NPI number 1104055383 Active

Practice location

3080 E Gentry Way, Suite 110
Meridian, ID 83642-3544

Call (208) 345-7262 Map

Fax (208) 343-1953

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-1370 (ID)
Neurology Chiropractor 111NN0400XCHIA-1370 (ID)

Chiropractor: 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 interrelationship with other body systems.

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About NPI 1104055383

Maria Teresa Gomez Sirucek, DC's National Provider Identifier is 1104055383, issued on Jul 8, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Meridian, ID. The record was last updated on Jan 10, 2013.