Individual provider · Type 1 NPI
Russell S. Wahlen, DC
Chiropractor · Ogden, UT
NPI number
1104923168
Active
Practice location
1276 Wall Ave
Ogden, UT 84404-5657
Fax (801) 337-4002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 346009-1202 (UT) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4 other providers at this address
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About NPI 1104923168
Russell S. Wahlen, DC's National Provider Identifier is 1104923168, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ogden, UT. The record was last updated on May 15, 2012.