Organization
WALL FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN R WALL D.C. (OWNER)
(360) 692-5350
Entity
Organization
Contact information
Practice address
9621 MICKELBERRY RD NW, STE. 108, SILVERDALE, WA 98383-8301
(360) 692-5350
(360) 692-5354
Mailing address
9621 MICKELBERRY RD NW, STE. 108, SILVERDALE, WA 98383-8301
(360) 692-5350
(360) 692-5354
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
CH60302851
WA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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