Individual
BRIAN ROETTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, ND
Contact information
Practice address
1705 PEARL WAY, OXNARD, CA 93035-2940
(310) 383-3505
Mailing address
1705 PEARL WAY, OXNARD, CA 93035-2940
(310) 383-3505
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
21493
CA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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