EVERGREEN PHYSICAL MEDICINE, LLC is a family nurse practitioner in Meridian, ID. EVERGREEN PHYSICAL MEDICINE, LLC NPI is 1538668421. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Physical Medicine.
The provider's business location address is:
1710 W CHERRY LN
MERIDIAN, ID
ZIP 83642-340
Phone: (208) 895-8595
The provider's authorized official is Summer Dance .
The authorized official title is Executive Director and has the following contact phone number (208) 895-8595.
The enumeration date for this NPI number is 2/6/2018 and was last updated on 2/6/2018.