Individual
WALLACE TROY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1285 STRATFORD AVE, SUITE I, DIXON, CA 95620-2026
(707) 678-0170
(707) 678-8306
Mailing address
1330 N LINCOLN ST, DIXON, CA 95620-2022
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC0218140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680461726
TAX ID
CA
Enumeration date
12/14/2006
Last updated
03/27/2020
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