Individual
MR. BRAD THOMAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3910 W MAIN ST, THATCHER, AZ 85552-5621
(928) 348-8997
Mailing address
PO BOX 1206, THATCHER, AZ 85552-1206
(928) 348-8997
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8303
AZ
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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