Individual
BRIAN J BUSSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Mailing address
24837 104TH AVE SE, SUITE 100, KENT, WA 98030-6800
(253) 854-7700
(253) 854-2986
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00003693
WA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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