Individual
RUSSELL S. WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1276 WALL AVE, OGDEN, UT 84404-5657
(801) 337-4000
(801) 337-4002
Mailing address
1276 WALL AVE, OGDEN, UT 84404-5657
(801) 337-4000
(801) 337-4002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
346009-1202
UT
Other
Enumeration date
09/20/2006
Last updated
05/15/2012
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