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Individual

DR. BRENT DOUGLAS FROBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
2079 MILDRED ST W FL 6, TACOMA, WA 98466-6133
(800) 404-6050
(866) 313-3397
Mailing address
PO BOX 700688, SAN ANTONIO, TX 78270-0688
(210) 318-3007
(210) 468-0682

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH60766830
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CH60766830
CHIROPRACTIC LICENSE
WA
Enumeration date
07/18/2017
Last updated
12/13/2022
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