Individual
BRADLEY D JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1261 S MAIN ST, MEADVILLE, PA 16335-3034
(814) 336-5420
Mailing address
1261 S MAIN ST, MEADVILLE, PA 16335-3034
(814) 336-5420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC007682
PA
Other
Enumeration date
11/07/2005
Last updated
09/30/2013
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