Organization
SEA LEVEL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAGONER DC (OWNER / CHIROPRACTOR)
(480) 760-3343
Entity
Organization
Contact information
Practice address
1652 N HIGLEY RD STE 107, GILBERT, AZ 85234-1605
(480) 760-3343
(480) 626-5944
Mailing address
1652 N HIGLEY RD STE 107, GILBERT, AZ 85234-1605
(480) 760-3343
(480) 626-5944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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