Individual
DR. JON WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4275 HARLAN ST, WHEAT RIDGE, CO 80033-5119
(303) 940-7167
(303) 940-7258
Mailing address
4275 HARLAN ST, WHEAT RIDGE, CO 80033-5119
(303) 940-7167
(303) 940-7258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4777
CO
Other
Enumeration date
04/16/2007
Last updated
02/19/2014
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