Individual
DR. BRADLEY SHANE BURT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
790 N MAIN ST, WALCOTT, IA 52773-9505
(563) 284-6927
Mailing address
PO BOX 790, WALCOTT, IA 52773-0790
(563) 284-6927
(563) 284-6927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06487
IA
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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