WALLACE R CHAVEZ DC

Dr WALLACE R CHAVEZ DC is a male medical professional, specializing in Chiropractic. He graduated in 1997 from Los Angeles College Of Chiropractic.

Contact

118 MAIN ST C
CANTON
NC
287164451

Tel: 8286481122

WALLACE R CHAVEZ DC Information

Npi 1275708703
Pac Id 6305864364
Professional Enrollment Id I20081222000665
Last Name CHAVEZ
First Name WALLACE
Middle Name R
Suffix
Gender M
Credential DC
Medical School Name LOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year 1997
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 118 MAIN ST C
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANTON
State NC
Zip Code 287164451
Phone Number 8286481122
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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