| Dr Philip Wall, DC | |
|
1830 E Parks Hwy Ste A135, Wasilla, AK 99654-7378 | |
| (907) 373-5054 | |
| Not Available |
| Full Name | Dr Philip Wall |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 1830 E Parks Hwy Ste A135, Wasilla, Alaska |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366259657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 231597 (Alaska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arctic Chiropractic West Mat-su, Llc | 9436222171 | 3 |
| Provider Name | Arctic Chiropractic West Mat-su, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013047117 PECOS PAC ID: 9436222171 Enrollment ID: O20080714000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Wall, DC 1150 S Colony Way Ste 3-226, Palmer, AK 99645-6967 Ph: Not Available | Dr Philip Wall, DC 1830 E Parks Hwy Ste A135, Wasilla, AK 99654-7378 Ph: (907) 373-5054 |
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