Individual
BRUCE WIGNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
40780 HWY 6&24, AVON, CO 81620
(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
111N00000X
Chiropractor
Primary
4193
CO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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