Leroy Glenn Wilson DC

NPI 1770556250 - Chiropractor - 111N00000X

NPI Details
NPI 1770556250
Gender Male
Enumeration Date 02/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
105 SE 3RD ST
LEES SUMMIT MO, 64063-2719, US
Phone (816) 524-5335
Fax (816) 524-5335
Business Location
105 SE 3RD ST
LEES SUMMIT MO, 64063-2719, US
Phone (816) 524-5335
Fax (816) 524-5335
Toxanomy
Taxonomy Code 111N00000X
License State Missouri
License Number 003294
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According to our database, Mr. Leroy Glenn Wilson DC NPI is 1770556250, taxonomy code is 111N00000X and license number is 003294, license state is located at Missouri. Leroy Glenn Wilson DC physically located at 105 Se 3rd St, Lees Summit MO, 64063-2719. NPI Number Leroy Glenn Wilson DC has the Individual type.

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1770556250 NPI number is provided on an as is basis without warranty of any kind. 1770556250 is maintained by the National Plan & Provider Enumeration System. The contents of Leroy Glenn Wilson DC are for informational purposes only.