Jack Emery Bradley DC

NPI 1396967345 - Chiropractor - 111N00000X

NPI Details
NPI 1396967345
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
101 N UNCOMPAHGRE
SUITE 1
MONTROSE CO, 81401, US
Phone (970) 252-8255
Fax (970) 252-9280
Business Location
101 N UNCOMPAHGRE
SUITE 1
MONTROSE CO, 81401, US
Phone (970) 252-8255
Fax (970) 252-9280
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number CHR3842
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According to our database, Mr. Jack Emery Bradley DC NPI is 1396967345, taxonomy code is 111N00000X and license number is CHR3842, license state is located at Colorado. Jack Emery Bradley DC physically located at 101 N Uncompahgre, Montrose CO, 81401. NPI Number Jack Emery Bradley DC has the Individual type.

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1396967345 NPI number is provided on an as is basis without warranty of any kind. 1396967345 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Emery Bradley DC are for informational purposes only.