Organization
FAUNTLEROY CHIROPRACTIC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN SCOTT WIEBE D.C. (OWNER/CHIROPRACTOR)
(206) 932-6605
Entity
Organization
Contact information
Practice address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 932-6605
(206) 933-6999
Mailing address
4520 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2740
(206) 932-6605
(206) 933-6999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH3113
WA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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