Individual
CARL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1505 S FIVE MILE RD, BOISE, ID 83709-1374
(208) 377-0577
(208) 658-6085
Mailing address
1505 S FIVE MILE RD, BOISE, ID 83709-1374
(208) 377-0577
(208) 658-6085
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-923
ID
Other
Enumeration date
04/26/2006
Last updated
07/18/2007
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