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Individual

DR. BRAD ALEN BUSHONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
189 SAMARITANS RIDGE RD, ELKIN, NC 28621-2452
(336) 526-3003
(336) 526-3004
Mailing address
189 SAMARITANS RIDGE RD, ELKIN, NC 28621-2452
(336) 526-3003
(336) 526-3004

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2007015837
MO
111N00000X
Chiropractor
Primary
4154
NC

Other

Enumeration date
09/06/2007
Last updated
08/06/2012
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