Organization
WIGNALL WHOLISTIC CLINIC PC
Active
Other names
Eagle-Vail Wholistic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WIGNALL D.C. (OWNER-PRESIDENT)
(970) 949-1952
Entity
Organization
Contact information
Practice address
40780- HWY 6 AND 24, UNIT 100, AVON, CO 81620-0353
(970) 949-1952
(970) 949-0817
Mailing address
PO BOX 353, AVON, CO 81620-0353
(970) 949-1952
(970) 949-0817
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
4193
CO
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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