Individual
DR. HOMER G WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6355 WARD RD, SUITE 420, ARVADA, CO 80004-3819
(303) 463-9395
(303) 403-4219
Mailing address
PO BOX 686, GOLDEN, CO 80402-0686
(303) 463-9395
(303) 403-4219
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2073
CO
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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