Individual
BRIAN SCOTT MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
467 MAIN ST, MADISON, WV 25130-2200
(304) 369-9500
(304) 369-7978
Mailing address
467 MAIN ST, MADISON, WV 25130-2200
(304) 369-9500
(304) 369-7978
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
953
WV
Other
Enumeration date
02/22/2013
Last updated
08/06/2013
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