Individual
DR. BRADLEY GENE MOUROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1888 SARATOGA AVE, STE 101, SAN JOSE, CA 95129-5214
(415) 472-7316
Mailing address
85 BOLINAS RD, SUITE # 2, FAIRFAX, CA 94930-1659
(415) 472-7316
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
31651
CA
Other
Enumeration date
08/25/2010
Last updated
05/05/2017
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