Dr. Jeffrey Bryan Pease, D.C.
Chiropractor in Boise, ID. Individual provider (NPI-1).
NPI number1245306539
StatusActive
Last updated in NPPESApr 11, 2013
Details
- NPI
- 1245306539
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Bryan Pease
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2006
- Last updated
- Apr 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-743 | ID | Yes |
Practice location
8275 Northview StBoise, ID 83704-7131
Phone 208-323-9000
Mailing address
2796 W Torana DrMeridian, ID 83642-5622
Phone 208-895-0336
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