Individual provider · Type 1 NPI
Brandon Wilson, DC
Chiropractor · South Weber, UT
NPI number
1407199037
Active
Practice location
1561 E Sandalwood Dr
South Weber, UT 84405-9814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 8577119-1202 (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.
About NPI 1407199037
Brandon Wilson, DC's National Provider Identifier is 1407199037, issued on Apr 2, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South Weber, UT. The record was last updated on Jun 19, 2019.