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Derrol Marvin Sillito, DC
Chiropractor in Puyallup, Washington
NPI 1992704910

Derrol Marvin Sillito is a Chiropractor based in Puyallup, WA. Derrol Marvin Sillito practices in Puyallup, WA and has the professional credentials of DC. The NPI Number for Derrol Marvin Sillito is 1992704910 and holds a License No. 1192 (Washington).

The current practice location address for Derrol Marvin Sillito is 5511 112Th Ave E, Puyallup, WA and can be reached out via phone at 253-845-4655 and via fax at 253-845-1052. You can also correspond with Derrol Marvin Sillito through the mailing address at 5511 112TH AVE E, PUYALLUP, WA - 98372 (mailing address contact number: 253-845-4655).

Location: 5511 112Th Ave E, Puyallup, WA, 98372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992704910
Provider Name
Derrol Marvin Sillito
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5511 112Th Ave E, Puyallup, WA, 98372
Phone Number
253-845-4655
Fax Number
253-845-1052
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SI3427 01 WA REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
5511 112Th Ave E
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-845-4655
Fax Number
253-845-1052
person
Provider Business Mailing Address Details
Address
5511 112Th Ave E
City
Puyallup
State
Washington
Zip
98372
Phone Number
253-845-4655
Fax Number
253-845-1052
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
1192 (Washington)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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