DR. Justin Wade Fogo, DC

NPI #1417167271 in Chelsea, Alabama

Provider Information

NPI Number: 1417167271
Entity Type: Individual
Name: DR. Justin Wade Fogo, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: May 23, 2007
Last Updated: Apr 28, 2010

Practice Location

Address: 398 CHESSER ROAD
Address 2: SUITE 2
City: Chelsea
State: Alabama
ZIP Code: 35043
Phone: (205) 678-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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