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Individual

ALAN DUNBAR WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1423 3RD AVENUE, HUNTINGTON, WV 25701
(304) 697-7080
(304) 697-0669
Mailing address
PO BOX 2953, HUNTINGTON, WV 25728-2953
(304) 697-7080
(304) 697-0669

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
432
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0132429000
WV
Enumeration date
10/25/2006
Last updated
07/08/2007
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