Individual
DR. BRADLEY D KOEHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
321 E GRANGER AVE, MODESTO, CA 95350-4304
(209) 238-3333
(209) 238-3249
Mailing address
321 E GRANGER AVE, MODESTO, CA 95350-4304
(209) 238-3333
(209) 238-3249
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC230341
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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