NPI | 1477820215 |
---|---|
Doing Business As | EVERGREEN CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | MATTHEW D HALES Owner 208-895-8595 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1153) |
Enumeration Date | 2011-11-22 |
Last Update Date | 2011-11-22 |