NPI 1043481351
Charles Green Chiropractor
Practice location
- Address
- 7683 W Riverside Dr, Boise, ID 83714-6188
- Phone
- (208) 429-8085
Authorised official
- Name
- Charles William Green
- Title
- President
- Phone
- (208) 429-8085
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1043481351
- Entity type
- Organization
- NPI issued
- 13 Mar 2008
- Record last updated
- 13 Mar 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.