Individual provider · Type 1 NPI

Larry G. Wilde, DC

Chiropractor · American Fork, UT

NPI number 1770515934 Active

Practice location

246 S 1100 E
American Fork, UT 84003-2829

Fax (801) 756-9014

Mailing address

219 E 1550 N
Pleasant Grove, UT 84062-9003

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X290149-1202 (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 1770515934

Larry G. Wilde, DC's National Provider Identifier is 1770515934, issued on Jul 7, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in American Fork, UT. The record was last updated on Jul 8, 2007.