NPI 1104923168

Russell S. Wahlen, DC

Practitioner Chiropractor Ogden, UT

Practice location

Address: 1276 Wall Ave, Ogden, UT 84404-5657
Phone: (801) 337-4000
Fax: (801) 337-4002

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 346009-1202 (UT)

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Registry record

NPI: 1104923168
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2006
Record last updated: 15 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.