NPI | 1700364437 |
---|---|
Doing Business As | BOISE INTEGRATED CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | NOAH B. EDVALSON Owner Physician 208-629-5374 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA-1368) |
Enumeration Date | 2018-08-03 |
Last Update Date | 2020-02-07 |