Individual
BRADLEY EVANS BRYANT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2317 MEMORIAL HWY, DALLAS, PA 18612-9245
(570) 675-1190
(570) 675-5885
Mailing address
2317 MEMORIAL HWY, DALLAS, PA 18612-9245
(570) 675-1190
(570) 675-5885
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007608L
PA
Other
Enumeration date
01/10/2007
Last updated
11/01/2012
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