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Individual

DR. ASHLEY BROOKS MAYLAND

Active
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Individual

DR. ASHLEY BROOKS MAYLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1076
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15174
AVERA HEALTH PLANS
SD
01
—
250332
MIDLANDS CHOICE
SD
01
—
4994167
WELLMARK
SD
01
—
49966
SIOUX VALLEY HEALTH PLAN
SD
01
—
699380
ACN GROUP PROVIDER NUMBER
SD
05
—
7604410
—
SD
01
—
C1076
DAKOTACARE
SD
Enumeration date
01/11/2007
Last updated
07/30/2012
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