Individual
BRADLEY PEERBOLTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 POPLAR ST, ATLANTIC, IA 50022-1250
(712) 243-1554
(712) 243-1573
Mailing address
17027 BEL RAY BLVD, BELTON, MO 64012-5371
(816) 425-7015
(816) 425-2117
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06801
IA
Other
Enumeration date
01/10/2006
Last updated
07/24/2018
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