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Organization

WALTER P. CREEL, D.C., INC.

Active
Parent organization
WALTER P. CREEL, D.C., INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
WALTER P. CREEL, D.C., INC.
Authorized official
WALTER P CREEL (CHIROPRACTOR)
(318) 992-2022
Entity
Organization

Contact information

Practice address
12051 HWY 84 WEST, JENA, LA 71342
(318) 992-2022
(318) 992-2037
Mailing address
PO BOX 1333, JENA, LA 71342-1333
(318) 992-2022
(318) 992-2037

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
513
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1955272
LA
Enumeration date
03/27/2008
Last updated
12/15/2008
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