Organization
TYBRADSHAW CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER BRADSHAW DC (CHIROPRACTOR)
(801) 859-9485
Entity
Organization
Contact information
Practice address
4179 E FAIRBANKS ST, GILBERT, AZ 85295-6148
(801) 859-9485
Mailing address
4179 E FAIRBANKS ST, GILBERT, AZ 85295-6148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8338
AZ
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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