Charles Green Chiropractor

NPI #1043481351 in Boise, Idaho

Provider Information

NPI Number
1043481351
Entity Type
Organization
Organization Name
Charles Green Chiropractor
Primary Specialty
Chiropractor
Enumeration Date
Mar 13, 2008
Last Updated
Mar 13, 2008

Practice Location

Address
7683 W RIVERSIDE DR
City
Boise
State
Idaho
ZIP Code
83714-6188
Phone
(208) 429-8085

Authorized Official

Name
DR. CHARLES WILLIAM GREEN, D.C.
Title
PRESIDENT
Phone
(208) 429-8085

Specialties & Taxonomy Codes

Specialty
Chiropractor

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