| Sirucek Chiropractic Neurology Clinic, Inc. | |
|
3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 | |
| (208) 345-7262 | |
| (208) 343-1953 |
| Full Name | Sirucek Chiropractic Neurology Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Neurology |
| Location | 3080 E Gentry Way, Meridian, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093975302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | CHIA1276 (Idaho) | Primary |
| Provider Name | Dax K Sirucek |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669654935 PECOS PAC ID: 9537216288 Enrollment ID: I20090415000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Sirucek Chiropractic Neurology Clinic, Inc. 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 Ph: (208) 345-7262 | Sirucek Chiropractic Neurology Clinic, Inc. 3080 E Gentry Way, Suite 110, Meridian, ID 83642-3544 Ph: (208) 345-7262 |
Todd Steven Pickman, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3085 E Magic View Dr. Suite 180, Meridian, ID 83642 Phone: 208-888-6077 Fax: 888-447-1415 | |
Alejandra Amarilis Irizarry, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 14 W Franklin Rd, Meridian, ID 83642 Phone: 208-906-1564 Fax: 208-906-1464 | |
Dr. Taylor Keller, B.S., D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5956 N Linder Rd., Suite 120, Meridian, ID 83646 Phone: 815-977-1931 | |
Brian Wayne Stutzman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1580 W 4th St Ste 103, Meridian, ID 83642 Phone: 208-888-9292 Fax: 208-888-3231 | |
Back 2 Life Medical Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2016 S Eagle Rd, Meridian, ID 83642 Phone: 208-887-6810 Fax: 208-887-6797 | |
Dr. Travis R Cunningham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3715 E Overland Rd, Suite 105, Meridian, ID 83642 Phone: 208-888-0055 Fax: 208-888-5062 | |
Chad C Willis, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1565 E Leighfield Dr Ste 150, Meridian, ID 83646 Phone: 208-855-0585 |