Individual
MR. VINCENT EDWARD WARDLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
631 EDGAR AVE, RONCEVERTE, WV 24970-1258
(304) 645-6524
(304) 645-6527
Mailing address
631 EDGAR AVE, RONCEVERTE, WV 24970-1258
(304) 645-6524
(304) 645-6527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
588
WV
Other
Enumeration date
11/06/2006
Last updated
04/26/2018
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