Individual
DR. BRIAN SCOTT SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
136 N ORCHARD ST STE 3, ORMOND BEACH, FL 32174-9535
(386) 310-8097
(386) 310-8096
Mailing address
136 N ORCHARD ST STE 3, ORMOND BEACH, FL 32174-9535
(386) 310-8097
(386) 310-8096
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10550
FL
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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