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NPI Code Detail

MEDICARE: DR. CHRISTOPHER ALDON BOGGESS DC

MEDICARE: DR. CHRISTOPHER ALDON BOGGESS DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCHIA-1786ID

General Provider Information

NPI Number : 1023537826
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER ALDON BOGGESS DC
Provider Business Mailing Address
First Line : 2634 N GOVERNMENT WAY
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-3750
Country : US
Telephone Number : 208-664-1000
Fax Number :
Provider Business Practice Location Address
First Line : 2634 N GOVERNMENT WAY
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83815-3750
Country : US
Telephone Number : 208-664-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 07/21/2022

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