Individual
DR. BRUCE BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2878 CAMINO DEL RIO S STE 120, SAN DIEGO, CA 92108-3844
(619) 281-1999
(619) 281-5357
Mailing address
3570 CAMINO DEL RIO N, STE. 104, SAN DIEGO, CA 92108-1747
(619) 281-1999
(619) 281-5357
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13741
CA
Other
Enumeration date
10/23/2006
Last updated
02/07/2019
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