Jerald Dale Wiley, DC

NPI #1528123130 in Great Falls, Montana

Provider Information

NPI Number: 1528123130
Entity Type: Individual
Name: Jerald Dale Wiley, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1520 3RD ST NW
Address 2: SUITE E
City: Great Falls
State: Montana
ZIP Code: 59404
Phone: (406) 727-5757

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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