DR. Roger D. Wallis, P.C.

NPI #1063615243 in Fort Lupton, Colorado

Provider Information

NPI Number: 1063615243
Entity Type: Individual
Name: DR. Roger D. Wallis, P.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: P.C.
Enumeration Date: Jun 6, 2007
Last Updated: Dec 7, 2007

Practice Location

Address: 419 DENVER AVE
City: Fort Lupton
State: Colorado
ZIP Code: 80621-1823
Phone: (303) 857-6344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Terry W Williams DC PC	Chiropractor	Fort Lupton	AI Deep Dive
Roger D Wallis Dcpc	Chiropractor	Fort Lupton	AI Deep Dive

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