Organization
BUSSARD CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J BUSSARD DC (OWNER)
(253) 854-7700
Entity
Organization
Contact information
Practice address
24837 104TH AVE SE STE 100, KENT, WA 98030-6800
(253) 854-7700
Mailing address
24837 104TH AVE SE STE 100, KENT, WA 98030-6800
(253) 854-7700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH00003693
WA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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