Organization
GREGORY J WILES DC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J WILES DC (OWNER)
(253) 564-2920
Entity
Organization
Contact information
Practice address
2310 MILDRED ST W STE 100C, UNIVERSITY PLACE, WA 98466-6052
(253) 564-2920
(253) 564-0135
Mailing address
2310 MILDRED ST W STE 100C, UNIVERSITY PLACE, WA 98466-6052
(253) 564-2920
(253) 564-0135
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00033981
WA
Other
Enumeration date
12/08/2006
Last updated
08/31/2009
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