Individual
THOMAS E DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1037 W AVENUE N, SUITE 101, LANCASTER, CA 93551-2002
(661) 266-3500
(661) 266-3591
Mailing address
1037 W AVENUE N STE 101, PALMDALE, CA 93551-2002
(661) 266-3500
(661) 266-3591
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC021669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DC021669
—
CA
Enumeration date
01/03/2006
Last updated
08/21/2012
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