Individual
DR. BRADLEY PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4844 N FIRST STREET, #102, FRESNO, CA 93726
(559) 225-1796
(559) 225-1798
Mailing address
4844 N FIRST STREET, #102, FRESNO, CA 93726
(559) 225-1796
(559) 225-1798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC203550
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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