Organization
BRADLEY FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS J BRADLEY D.C. (OWNER)
(319) 447-1317
Entity
Organization
Contact information
Practice address
127 MARION BLVD STE B, MARION, IA 52302-3144
(319) 447-1317
(319) 447-1325
Mailing address
127 MARION BLVD STE B, MARION, IA 52302-3144
(319) 447-1317
(319) 447-1325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06007
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1149021
—
IA
01
—
48468
BLUECROSS BLUESHIELD
IA
Enumeration date
12/20/2007
Last updated
12/27/2007
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