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Individual

DR. C. HERBERT WILLSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
209 RICHLAND AVE, DRAVOSBURG, PA 15034-1160
(412) 469-2000
(412) 466-2199
Mailing address
209 RICHLAND AVE, DRAVOSBURG, PA 15034
(412) 469-2000
(412) 466-2199

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001999L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0629997
PA
Enumeration date
07/11/2006
Last updated
08/04/2010
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