Wade Tyler Kosis D.C.

NPI 1073632725 - Chiropractor - 111N00000X

NPI Details
NPI 1073632725
Gender Male
Enumeration Date 03/27/2007
Last Updated 09/21/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
1405 MERCHANT ST
AMBRIDGE PA, 15003-2257, US
Phone (724) 266-2155
Fax
Business Location
1405 MERCHANT ST
AMBRIDGE PA, 15003-2257, US
Phone (724) 266-2155
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Pennsylvania
License Number DC002565L
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According to our database, Wade Tyler Kosis D.C. NPI is 1073632725, taxonomy code is 111N00000X and license number is DC002565L, license state is located at Pennsylvania. Wade Tyler Kosis D.C. physically located at 1405 Merchant St, Ambridge PA, 15003-2257. NPI Number Wade Tyler Kosis D.C. has the Individual type.

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1073632725 NPI number is provided on an as is basis without warranty of any kind. 1073632725 is maintained by the National Plan & Provider Enumeration System. The contents of Wade Tyler Kosis D.C. are for informational purposes only.