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Grayson Blom, D.C
NPI 1316112428 · on the registry since 2008
Practice
- Address
- 5975 W. Overland Rd.
Boise, ID 83709 - Phone
- (208) 559-0541
- Organisation at this address
- Mayes Chiropractic, Inc
Pure Infusion Of Idaho Llc
Pure Healthcare Of Idaho LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho