Individual
MATTHEW D HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1640 W CHERRY LN STE 130, MERIDIAN, ID 83642-1321
(208) 895-8595
(208) 884-1835
Mailing address
1640 W CHERRY LN STE 130, MERIDIAN, ID 83642-1321
(208) 895-8595
(208) 884-1835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1153
ID
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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