Individual provider · Type 1 NPI
James Criddle Gardner, DC
Chiropractor · Idaho Falls, ID
NPI number
1821036856
Active
Practice location
1220 E 17th St
Idaho Falls, ID 83404-6147
Fax (208) 552-9447
Mailing address
4317 Amber Ln
Ammon, ID 83406-4640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIA-904 (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.
Another provider at this address
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About NPI 1821036856
James Criddle Gardner, DC's National Provider Identifier is 1821036856, issued on Jun 3, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 12, 2016.