| NPI | 1811189855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DOUGLAS WILSON President 360-573-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA CH00002135) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |