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Organization

D'OLIVE BAY FAMILY CHIROPRACTIC P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN DONALD WETZONIS D.C. (OWNER)
(251) 621-0341
Entity
Organization

Contact information

Practice address
28080 US HIGHWAY 98, SUITE D, DAPHNE, AL 36526-7005
(251) 621-0341
(251) 621-0340
Mailing address
28080 US HIGHWAY 98, SUITE D, DAPHNE, AL 36526-7005
(251) 621-0341
(251) 621-0340

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2380
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2508023201
INDIVISUAL NPI
AL
Enumeration date
07/22/2013
Last updated
07/22/2013
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