Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1571 | WA |
NPI | 1013040252 |
---|---|
Provider Name | Dr. Richard Joseph Waling |
First Address | Olympia, WA 98502 |
Second Address | Lacey, WA 98516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 17/06/2019 |