Freddie L. Sermon, D.C. Valid NPI

Individual provider · Chiropractor · Idaho Falls, ID

NPI

1023166436

Type

Individual (Type 1)

Primary specialty

Chiropractor

Specialty group

Chiropractic Providers

Taxonomy code

111N00000X

License number

CH-679 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-08

Last updated

2015-10-23