Organization
DEWALD CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS DEWALD D.C. (DOCTOR OF CHIROPRACTIC)
(661) 266-3500
Entity
Organization
Contact information
Practice address
1037 W AVENUE N, 101, PALMDALE, 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
111N00000X
Chiropractor
Primary
DC21669
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ48855Z
BLUE SHIELD
CA
Enumeration date
10/18/2006
Last updated
08/21/2012
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