Individual
DR. BRADLEY JOHN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2013 OLDE REGENT WAY STE 130, LELAND, NC 28451-7285
(910) 371-2212
(910) 371-2231
Mailing address
2013 OLDE REGENT WAY, LELAND, NC 28451-4193
(910) 371-2212
(910) 371-2231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1521
NE
Other
Enumeration date
07/07/2008
Last updated
11/06/2012
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