Individual
DR. TONY WANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
193 W BEAU ST, JEFFERSON COURT PLAZA, WASHINGTON, PA 15301-4401
(724) 222-8322
(724) 222-8940
Mailing address
193 W BEAU ST, JEFFERSON COURT PLAZA, WASHINGTON, PA 15301-4401
(724) 222-8322
(724) 222-8940
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC005027L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016115200004
—
PA
Enumeration date
04/19/2006
Last updated
07/09/2007
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