Organization
BRADLEY CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL LIONEL BRADLEY D.C. (OWNER/CHIROPRACTOR)
(314) 371-2225
Entity
Organization
Contact information
Practice address
330 N VANDEVENTER AVE, SAINT LOUIS, MO 63108-3104
(314) 371-2225
(314) 533-2404
Mailing address
330 N VANDEVENTER AVE, SAINT LOUIS, MO 63108-3104
(314) 371-2225
(314) 533-2404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2001010035
MO
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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