Organization
PROSPINAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN CHARLES HANSEN DC (PRESIDENT)
(775) 336-3472
Entity
Organization
Contact information
Practice address
630 SIERRA ROSE DR, SUITE 1A, RENO, NV 89511-2356
(775) 336-3472
(775) 284-4902
Mailing address
630 SIERRA ROSE DR, SUITE 1A, RENO, NV 89511-2356
(775) 336-3472
(775) 284-4902
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01030
NV
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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