| Michael Green, DC | |
|
5101 Bel Air St, Boise, ID 83705-2774 | |
| (208) 386-9525 | |
| Not Available |
| Full Name | Michael Green |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 5101 Bel Air St, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760794515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIA-384 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Green, DC 5101 Bel Air St, Boise, ID 83705-2774 Ph: (208) 386-9525 | Michael Green, DC 5101 Bel Air St, Boise, ID 83705-2774 Ph: (208) 386-9525 |
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