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Individual

DR. RICHARD D WOLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1169 HIGHWAY 70 E, DE QUEEN, AR 71832-8008
(870) 642-4050
(870) 642-4059
Mailing address
1169 HIGHWAY 70 E, DE QUEEN, AR 71832-8008
(870) 642-4050
(870) 642-4059

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1254
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59821
BLUE CROSS BLUE SHIELD ID
AR
Enumeration date
08/09/2005
Last updated
12/19/2008
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