Individual
DUSTIN EZRA FREAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5308 PARKLANE DR, #5, KEARNEY, NE 68847-8630
(308) 237-0648
(308) 236-9197
Mailing address
5308 PARKLANE DR, #5, KEARNEY, NE 68847-8630
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1632
NE
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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