Individual
DR. DAVID FREDERICK WILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5742 OWLS NEST DR, SANTA ROSA, CA 95409-4350
(707) 537-1036
(707) 537-1261
Mailing address
5742 OWLS NEST DR, SANTA ROSA, CA 95409-4350
(707) 537-1036
(707) 537-1261
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
16088
CA
111NX0800X
Orthopedic Chiropractor
16088
CA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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