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DR. THOMAS JOHN DESALVO D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1639280936

Individual Registrant:
DR. THOMAS JOHN DESALVO D.C.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1701 N SEWARD MERIDIAN PKWY  WASILLA, AK 99654-6682 US
Tel: 907-357-7463  Fax: 907-376-5270

Contact information for business:
1701 N SEWARD MERIDIAN PKWY  WASILLA, AK 99654-6682 US
Tel: 907-357-7463  Fax: 907-376-5270

Registration Information:
NPI: 1639280936
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AKAK386

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CH2553AK05




HEALTH CARE JOBS AK - Page 1



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