Individual
JOEL WILLIAM SOUTHWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1525 NW MALL ST, ISSAQUAH, WA 98027-8947
(425) 800-6881
(425) 392-1039
Mailing address
1525 NW MALL ST, ISSAQUAH, WA 98027-8947
(425) 800-6881
(425) 392-1039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60505676
WA
Other
Enumeration date
12/10/2014
Last updated
12/16/2020
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