Organization
ADVANCED CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY RICHARD PASTRO DC (OWNER)
(775) 883-4114
Entity
Organization
Contact information
Practice address
3232 CARMINE ST, CARSON CITY, NV 89706-1831
(775) 883-4114
Mailing address
3232 CARMINE ST, CARSON CITY, NV 89706-1831
(775) 883-4114
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
B00539
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1355
BCBS FEDERAL
NV
01
—
614344
BCBS
—
01
—
U52373
UPIN
NV
Enumeration date
05/14/2008
Last updated
09/16/2009
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