| NPI | 1700106663 |
|---|---|
| Doing Business As | EVERGREEN CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID HALES Vice President 208-895-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2010-06-02 |