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NPI Code Detail

MEDICARE: DR. WENDY BLYMYER D.C.

MEDICARE: DR. WENDY BLYMYER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor27 3534OR

General Provider Information

NPI Number : 1952504888
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WENDY BLYMYER D.C.
Provider Business Mailing Address
First Line : PO BOX 1721
Second Line :
City : BROOKINGS
State : OR
Zip : 97415-0045
Country : US
Telephone Number : 541-412-8919
Fax Number :
Provider Business Practice Location Address
First Line : 610 5TH ST STE C
Second Line :
City : BROOKINGS
State : OR
Zip : 97415-9199
Country : US
Telephone Number : 541-412-8919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2007
Last Update Date : 08/03/2015

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