Individual
DR. TYLER JOHN BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142-5995
(480) 677-4800
(480) 677-4806
Mailing address
21321 E OCOTILLO RD STE 125, QUEEN CREEK, AZ 85142-5995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8338
AZ
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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