Organization
MAZE FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON J MAZE DC (CEO)
(812) 994-8051
Entity
Organization
Contact information
Practice address
51 CHESTNUT ST E, NASHVILLE, IN 47448-7607
(812) 374-8160
Mailing address
1340 S SMITH RD, BLOOMINGTON, IN 47401-8901
(812) 374-8160
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
10/05/2020
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