Individual
BRADLEY O HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1270 SPRINGBROOK RD, STE A, WALNUT CREEK, CA 94597-3971
(925) 938-9303
(925) 938-9304
Mailing address
1270 SPRINGBROOK RD, STE A, WALNUT CREEK, CA 94597-3971
(925) 938-9303
(925) 938-9304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30403
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0304030
BLUE SHIELD
CA
01
—
DC30403
CHIROPRACTIC LICENSE NUMB
CA
Enumeration date
05/03/2007
Last updated
09/07/2012
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