Individual
BRIAN THALHAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
635 5TH ST, SANTA ROSA, CA 95404-4428
(707) 575-8988
Mailing address
635 5TH ST, SANTA ROSA, CA 95404-4428
(707) 575-8988
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
26500
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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