Organization
BRICE WILTGEN D.C., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRICE WILTGEN DC (MEMBER)
(308) 440-9821
Entity
Organization
Contact information
Practice address
15288 W BROOKSIDE LN STE 139, SURPRISE, AZ 85374-3990
(623) 544-4444
Mailing address
15288 W BROOKSIDE LN STE 139, SURPRISE, AZ 85374-3990
(623) 544-4444
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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