William Keith Modenbach, DC Valid NPI
Individual provider · Chiropractor · Walnut Creek, CA
- NPI
- 1720149487
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 19538 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-13
- Last updated
- 2007-07-08
Practice location
43 Quail Court, #202
Walnut Creek, CA 94596
(925) 944-1478