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Individual
DR. BRIAN JOHN DOZARK
Active
Individual
DR. BRIAN JOHN DOZARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1033
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10292
AVERA HEALTH
SD
01
—
4995366
WELLMARK BCBS
SD
Enumeration date
01/18/2006
Last updated
10/05/2012
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