Organization
EVENSON CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS EVENSON DC (DOCTOR/OWNER)
(208) 769-4800
Entity
Organization
Contact information
Practice address
2205 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2487
(208) 769-4800
(208) 769-9977
Mailing address
2205 IRONWOOD PL STE B, COEUR D ALENE, ID 83814-2487
(208) 769-4800
(208) 769-9977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1094
ID
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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