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Individual

DR. BRET ALAN WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
16846 W BELL RD, SUITE 112, SURPRISE, AZ 85374-3052
(623) 556-2335
(623) 556-9382
Mailing address
14192 W DESERT HILLS DR, SURPRISE, AZ 85379-4902
(623) 337-5778

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7609
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0452013
OH
Enumeration date
06/13/2006
Last updated
04/05/2010
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