Organization
HARDISON-WALZ PC
Active
Other names
Mountain View Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D HARDISON DC (DIRECTOR)
(208) 777-0128
Entity
Organization
Contact information
Practice address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
(208) 773-9600
Mailing address
1624 E SELTICE WAY, POST FALLS, ID 83854
(208) 777-0128
(208) 773-9600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA964
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010156505
REGENCE BLUE SHIELD
ID
05
—
807387600
—
ID
01
—
C2532
BLUE CROSS OF IDAHO
ID
Enumeration date
07/31/2007
Last updated
07/23/2010
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