Individual
DR. DANIEL JASON QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
120 STONEY BROOKE DR, ASHLAND, KY 41101-2160
(606) 329-0281
Mailing address
PO BOX 577, GREENUP, KY 41144-0577
(816) 896-0281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5079
KY
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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