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Individual

BRYAN C. ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1401 NW JEFFERSON ST, SUITE A, BLUE SPRINGS, MO 64015-7239
(816) 220-0660
(816) 220-1161
Mailing address
1401 NW JEFFERSON ST, SUITE A, BLUE SPRINGS, MO 64015-7239
(816) 220-0660
(816) 220-1161

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006591
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006591
STATE LICENSE
MO
Enumeration date
07/11/2006
Last updated
07/08/2007
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