Individual
ALICIA NAOMI DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
8377 E HARTFORD DR, SCOTTSDALE, AZ 85255-5685
(800) 613-0922
Mailing address
2625 BUTTERFIELD RD STE 301N, OAK BROOK, IL 60523-1266
(800) 613-0922
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038.013893
IL
111N00000X
Chiropractor
Primary
9240
AZ
111NP0017X
Pediatric Chiropractor
9240
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9240
STATE OF ARIZONA BOARD OF CHIROPRACTIC EXAMINERS
AZ
Enumeration date
02/06/2023
Last updated
05/22/2023
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