Individual
DR. BRADLEY JASON BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
511 CEDAR ST, CONCORDIA, KS 66901-2111
(785) 243-4049
(785) 243-4735
Mailing address
PO BOX 484, CONCORDIA, KS 66901-0484
(785) 243-4049
(785) 243-4735
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-03920
KS
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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