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Individual

DR. BRIAN KEITH DRAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DCM

Contact information

Practice address
7575 RITCHIE HWY, GLEN BURNIE, MD 21061-8951
(410) 766-1444
(410) 768-5703
Mailing address
502 FOREST VIEW RD, LINTHICUM HEIGHTS, MD 21090-2818
(410) 766-1444
(410) 768-5703

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01433
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52167002
BSMD
MD
Enumeration date
08/01/2005
Last updated
08/01/2012
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