Individual provider · Type 1 NPI

Brandon Lisle Trujillo, DC

Chiropractor · Eagle, ID

NPI number 1619166063 Active

Practice location

950 E Riverside Dr
Eagle, ID 83616-6020

Call (208) 939-2502 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6760623-1202 (UT)
Chiropractor 111N00000XCHIA1581 (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 1619166063

Brandon Lisle Trujillo, DC's National Provider Identifier is 1619166063, issued on Oct 22, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Eagle, ID. The record was last updated on Feb 11, 2014.