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Individual

DR. JODY WAYNE FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
142 MACCORKLE AVE, ST ALBANS, WV 25177
(304) 722-3011
(304) 722-3045
Mailing address
142 MACCORKLE AVE, ST ALBANS, WV 25177
(304) 722-3011
(304) 722-3045

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
784
WV

Other

Enumeration date
10/18/2006
Last updated
03/17/2013
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