Individual provider · Type 1 NPI
Gwendolyn Ann Vandooren, DC
Chiropractor · Hailey, ID
NPI number
1316084643
Active
Practice location
17 Buttercup Rd
Hailey, ID 83333-5097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA866 (ID) |
| Chiropractor | 111N00000X | CH00002501 (WA) |
| Chiropractor | 111N00000X | 282720 (OR) |
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.
Other chiropractor providers in Hailey
About NPI 1316084643
Gwendolyn Ann Vandooren, DC's National Provider Identifier is 1316084643, issued on Jan 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Hailey, ID. The record was last updated on Jul 8, 2007.