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Individual

DR. JAMES WILSON WEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
124 12TH AVE RD, NAMPA, ID 83686
(208) 466-5459
(208) 466-5803
Mailing address
124 12TH AVE RD, NAMPA, ID 83686-5074
(208) 466-5459
(208) 466-5803

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA276
ID
171100000X
Acupuncturist
ACC106
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010008304
BLUE SHIELD
ID
01
C3100
BLUE CROSS
ID
01
CS1067
PALMETTO GBA
Enumeration date
08/06/2007
Last updated
09/16/2015
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