Organization
DOUGLAS S. WILSON CHIROPRACTIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S WILSON DC (PRESIDENT)
(805) 938-7480
Entity
Organization
Contact information
Practice address
2615 S MILLER ST STE 108, SANTA MARIA, CA 93455-1775
(805) 938-7480
(805) 938-7492
Mailing address
2615 S MILLER ST STE 108, SANTA MARIA, CA 93455-1775
(805) 938-7480
(805) 938-7492
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21563
CA
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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