Individual
BRUCE E DWELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4944 SUNRISE BLVD, STE A, FAIR OAKS, CA 95628
(916) 863-6288
(916) 863-1144
Mailing address
4944 SUNRISE BLVD, STE A, FAIR OAKS, CA 95628
(916) 863-6288
(916) 863-1144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0201710
CA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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