Organization
EVERGREEN NATURAL HEALTH SOLUTIONS
Active
Other names
Evergreen Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW DAVID HALES D.C. (OWNER)
(208) 895-8595
Entity
Organization
Contact information
Practice address
1640 W CHERRY LN, 130, MERIDIAN, ID 83642-1321
(208) 895-8595
(208) 895-8594
Mailing address
1640 W CHERRY LN, 130, MERIDIAN, ID 83642-1321
(208) 895-8595
(208) 895-8594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1153
ID
Other
Enumeration date
02/06/2007
Last updated
05/12/2008
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