Individual
MR. BROCK ANTHONY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
21651 E COUNTRY VISTA DR STE F, LIBERTY LAKE, WA 99019-7709
(509) 319-2310
Mailing address
13313 E 4TH AVE APT A203, SPOKANE VALLEY, WA 99216-0682
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH61466516
WA
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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