Individual
DR. MARK E. BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
127 E 6TH ST, CONCORDIA, KS 66901-2902
(785) 243-1454
(785) 243-1232
Mailing address
127 E 6TH ST, CONCORDIA, KS 66901-2902
(785) 243-1454
(785) 243-1232
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C3507
KS
Other
Enumeration date
02/24/2006
Last updated
03/26/2012
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