Organization · Type 2 NPI
Dr. Mick L. Tiegs, Inc., PS
Health Service Clinic/Center · Boise, ID
NPI number
1689709735
Active
Practice location
2301 N 36th St
Boise, ID 83703-5207
Fax (208) 344-5277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 3119 (WA) |
| Health Service Clinic/Center Primary | 261QH0100X | CHIA-1056 (ID) |
Health Service Clinic/Center: Definition to come...
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About NPI 1689709735
Dr. Mick L. Tiegs, Inc., PS's National Provider Identifier is 1689709735, issued on Feb 22, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Boise, ID. The record was last updated on Feb 4, 2008.