Individual
BROCK W DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1011 RANCHO CONEJO BLVD, THOUSAND OAKS, CA 91320-1718
(951) 595-2281
Mailing address
2857 LAS POSAS CIR, SANTA ROSA VALLEY, CA 93012-8211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
35222
CA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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