Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROGER D. WALLIS, P.C.
Active Sole ProprietorDR. ROGER D. WALLIS, P.C. is a Chiropractor healthcare provider located in FORT LUPTON, Colorado. NPI 1063615243 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · FORT LUPTON, CO
Registration Details
- NPI Number
- 1063615243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2007 (19.146602373701 yrs)
- Last Updated
- Dec 7, 2007
- License
-
1509 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
419 DENVER AVEFORT LUPTON, CO, 806211823Browse CO providers · Browse ZIP 80621
- Phone
- 3038576344
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in FORT LUPTON, CO
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY WADE WILLIAMS | DC | 1366620775 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.