Organization
BRANDON CLINIC LLC
Active
Other names
Brandon Clinic of Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD DAVID BRANDON DC (MANAGER OWNER PRES)
(205) 631-8808
Entity
Organization
Contact information
Practice address
600 MAIN ST STE 107, GARDENDALE, AL 35071-3649
(205) 631-8808
(205) 631-8832
Mailing address
PO BOX 1043, 600 MAIN STREET SUITE 107, GARDENDALE, AL 35071-1043
(205) 631-8808
(205) 631-8832
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0884
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51096028
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
Enumeration date
12/28/2006
Last updated
06/16/2008
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