Brian Reinard Bergstrom D.C.

NPI 1063675254 - Chiropractor - 111N00000X

NPI Details
NPI 1063675254
Gender Male
Enumeration Date 07/08/2008
Last Updated 07/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
74399 HIGHWAY 111
SUITE E
PALM DESERT CA, 92260-4116, US
Phone (760) 861-0727
Fax
Business Location
74399 HIGHWAY 111
SUITE E
PALM DESERT CA, 92260-4116, US
Phone (760) 861-0727
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC28771
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According to our database, Brian Reinard Bergstrom D.C. NPI is 1063675254, taxonomy code is 111N00000X and license number is DC28771, license state is located at California. Brian Reinard Bergstrom D.C. physically located at 74399 Highway 111, Palm Desert CA, 92260-4116. NPI Number Brian Reinard Bergstrom D.C. has the Individual type.

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1063675254 NPI number is provided on an as is basis without warranty of any kind. 1063675254 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Reinard Bergstrom D.C. are for informational purposes only.