Provider Demographics
NPI:1043204506
Name:PASCHALL, PERRY ALBERT JR (DC)
Entity Type:Individual
Prefix:DR
First Name:PERRY
Middle Name:ALBERT
Last Name:PASCHALL
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:4334 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6132
Mailing Address - Country:US
Mailing Address - Phone:925-432-6445
Mailing Address - Fax:925-427-4762
Practice Address - Street 1:3501 BODIN CIRCLE
Practice Address - Street 2:CHIROPRACTIC CLINIC
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535
Practice Address - Country:US
Practice Address - Phone:707-423-5025
Practice Address - Fax:707-423-9148
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA12009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor