DEREK C CALAWAY

Dr DEREK C CALAWAY is a male medical professional, specializing in Chiropractic. He graduated in 2018 from Life Chiropractic College - West.

Contact

661 S WOODRUFF AVE
IDAHO FALLS
ID
834015596

Tel: 2085579616

DEREK C CALAWAY Information

Npi 1639655970
Pac Id 3476897562
Professional Enrollment Id I20181129003519
Last Name CALAWAY
First Name DEREK
Middle Name C
Suffix
Gender M
Credential
Medical School Name LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year 2018
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 661 S WOODRUFF AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834015596
Phone Number 2085579616
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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