Individual
DR. PHILIP WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1830 E PARKS HWY STE A135, WASILLA, AK 99654-7378
(907) 373-5054
Mailing address
1150 S COLONY WAY STE 3-226, PALMER, AK 99645-6967
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
231597
AK
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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