Provider Demographics
NPI:1124191739
Name:HUNTER, WESLAN C (DC)
Entity Type:Individual
Prefix:DR
First Name:WESLAN
Middle Name:C
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 S GILBERT RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5106
Mailing Address - Country:US
Mailing Address - Phone:480-558-5197
Mailing Address - Fax:480-558-7004
Practice Address - Street 1:3190 S GILBERT RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5106
Practice Address - Country:US
Practice Address - Phone:480-558-5197
Practice Address - Fax:480-558-7004
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7776111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor