Individual
DR. BRIAN JOSEPH DECLERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3529 CANNON RD STE 2E, OCEANSIDE, CA 92056-4979
(760) 631-8000
(760) 631-8099
Mailing address
3529 CANNON RD STE 2E, OCEANSIDE, CA 92056-4979
(760) 631-8000
(760) 631-8099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
931150
QME
CA
Enumeration date
09/29/2006
Last updated
07/08/2007
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