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Organization
TJW INC
Active
Organization
TJW INC
Active
Other names
Spinal Care Center of Stockton
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ADAM WALTH DC (CEO)
(209) 474-3764
Entity
Organization
Contact information
Practice address
8829 DAVIS RD, SUITE 1, STOCKTON, CA 95209-1871
(209) 474-0506
Mailing address
8829 DAVIS RD, SUITE 1, STOCKTON, CA 95209-1871
(209) 474-0506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC014510
CA
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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