Organization
HAYDEN LAKE CHIROPRACTIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN ROBERT MARSH D.C. (PRESIDENT)
(208) 762-0222
Entity
Organization
Contact information
Practice address
8235 N CORNERSTONE DR, HAYDEN, ID 83835-8683
(208) 762-0222
(208) 762-5362
Mailing address
8235 N CORNERSTONE DR, HAYDEN, ID 83835-8683
(208) 762-0222
(208) 762-5362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-699
ID
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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