| NPI | 1285819425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS EVENSON Doctor/Owner 208-769-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1094) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |