Individual
BRICE WILTGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
15288 W BROOKSIDE LN STE 139, SURPRISE, AZ 85374-3990
(623) 544-4444
Mailing address
15288 W BROOKSIDE LN STE 139, SURPRISE, AZ 85374-3990
(623) 544-4444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8744
AZ
Other
Enumeration date
02/24/2012
Last updated
03/25/2019
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