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Individual

BRETT ROBERTS CORYELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
2493 MILFORD RD STE 300, EAST STROUDSBURG, PA 18301-9720
(570) 223-7211
(570) 223-7545
Mailing address
2493 MILFORD RD STE 300, EAST STROUDSBURG, PA 18301-9720
(570) 223-7211
(570) 223-7545

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 003861-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO006938
BLUE SHIELD PIN
PA
Enumeration date
08/05/2006
Last updated
10/31/2023
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