Organization
IRONWOOD CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW THOMAS EVENSON D.C. (OWNER/SECRETARY)
(208) 667-0823
Entity
Organization
Contact information
Practice address
1410 LINCOLN WAY STE 200, COEUR D ALENE, ID 83814-2300
(208) 667-0823
Mailing address
1410 LINCOLN WAY STE 200, COEUR D ALENE, ID 83814-2300
(208) 667-0823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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