Individual provider · Type 1 NPI

Gerald D. Staker, DC

Chiropractor · Idaho Falls, ID

NPI number 1891884276 Active

Practice location

976 John Adams Pkwy
Idaho Falls, ID 83401-4049

Fax (208) 522-4777

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCHIA-706 (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 1891884276

Gerald D. Staker, DC's National Provider Identifier is 1891884276, issued on Oct 12, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jul 9, 2007.