Organization
VICTORY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADY A WILSON DC (CHIROPRACTOR)
(641) 843-0227
Entity
Organization
Contact information
Practice address
233 MAIN AVE S, BRITT, IA 50423-1630
(641) 843-0227
Mailing address
720 3RD AVE SW, BRITT, IA 50423-1417
(641) 860-1191
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
086004
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598285166
COMMERCIAL
—
Enumeration date
08/21/2017
Last updated
08/21/2017
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