Jon Wall DC

NPI 1679798672 - Chiropractor - 111N00000X

NPI Details
NPI 1679798672
Gender Male
Enumeration Date 04/16/2007
Last Updated 02/19/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4275 HARLAN ST
WHEAT RIDGE CO, 80033-5119, US
Phone (303) 940-7167
Fax (303) 940-7258
Business Location
4275 HARLAN ST
WHEAT RIDGE CO, 80033-5119, US
Phone (303) 940-7167
Fax (303) 940-7258
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 4777
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According to our database, Dr. Jon Wall DC NPI is 1679798672, taxonomy code is 111N00000X and license number is 4777, license state is located at Colorado. Jon Wall DC physically located at 4275 Harlan St, Wheat Ridge CO, 80033-5119. NPI Number Jon Wall DC has the Individual type.

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1679798672 NPI number is provided on an as is basis without warranty of any kind. 1679798672 is maintained by the National Plan & Provider Enumeration System. The contents of Jon Wall DC are for informational purposes only.