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Organization
WILEY CHIROPRACTIC GROUP P. C.
Active
Organization
WILEY CHIROPRACTIC GROUP P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY L WILEY DC (PRESIDENT)
(719) 589-5163
Entity
Organization
Contact information
Practice address
511 MAIN ST, SUITE 6, ALAMOSA, CO 81101-2672
(719) 589-5163
(719) 589-8988
Mailing address
511 MAIN ST, SUITE 6, ALAMOSA, CO 81101-2672
(719) 589-5163
(719) 589-8988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1181
CO
111NN1001X
Nutrition Chiropractor
1181
CO
111NP0017X
Pediatric Chiropractor
1181
CO
111NR0200X
Radiology Chiropractor
1181
CO
111NR0400X
Rehabilitation Chiropractor
1181
CO
111NS0005X
Sports Physician Chiropractor
1181
CO
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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