Russell S. Wahlen D.C.

NPI 1104923168 - Chiropractor - 111N00000X

NPI Details
NPI 1104923168
Gender Male
Enumeration Date 09/20/2006
Last Updated 05/15/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1276 WALL AVE
OGDEN UT, 84404-5657, US
Phone (801) 337-4000
Fax (801) 337-4002
Business Location
1276 WALL AVE
OGDEN UT, 84404-5657, US
Phone (801) 337-4000
Fax (801) 337-4002
Toxanomy
Taxonomy Code 111N00000X
License State Utah
License Number 346009-1202
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According to our database, Russell S. Wahlen D.C. NPI is 1104923168, taxonomy code is 111N00000X and license number is 346009-1202, license state is located at Utah. Russell S. Wahlen D.C. physically located at 1276 Wall Ave, Ogden UT, 84404-5657. NPI Number Russell S. Wahlen D.C. has the Individual type.

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1104923168 NPI number is provided on an as is basis without warranty of any kind. 1104923168 is maintained by the National Plan & Provider Enumeration System. The contents of Russell S. Wahlen D.C. are for informational purposes only.