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Individual

DR. RICHARD EDWARD WARDEN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8912 MIDSOUTH AVE, OLIVE BRANCH, MS 38654-2922
(662) 890-4410
(662) 890-4410
Mailing address
8912 MIDSOUTH AVE, OLIVE BRANCH, MS 38654-2922
(662) 890-4410
(662) 890-4410

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
983
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00121579
MS
Enumeration date
01/30/2007
Last updated
07/08/2007
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