Roger D. Wallis P.C.

NPI 1063615243 - Chiropractor - 111N00000X

NPI Details
NPI 1063615243
Gender Male
Enumeration Date 06/06/2007
Last Updated 12/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
419 DENVER AVE
FORT LUPTON CO, 80621-1823, US
Phone (303) 857-6344
Fax
Business Location
419 DENVER AVE
FORT LUPTON CO, 80621-1823, US
Phone (303) 857-6344
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 1509
Remove 1063615243 NPI Number
 

According to our database, Dr. Roger D. Wallis P.C. NPI is 1063615243, taxonomy code is 111N00000X and license number is 1509, license state is located at Colorado. Roger D. Wallis P.C. physically located at 419 Denver Ave, Fort Lupton CO, 80621-1823. NPI Number Roger D. Wallis P.C. has the Individual type.

Sponsored links

1063615243 NPI number is provided on an as is basis without warranty of any kind. 1063615243 is maintained by the National Plan & Provider Enumeration System. The contents of Roger D. Wallis P.C. are for informational purposes only.