Individual
DR. DANIEL WADE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3534 EL CAMINO REAL, ATASCADERO, CA 93422-2532
(805) 462-2595
(805) 462-2595
Mailing address
5600 ARROYO AVE, ATASCADERO, CA 93422
(806) 466-7240
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC25112
CA
Other
Enumeration date
02/20/2007
Last updated
01/11/2017
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