Organization
BRANDON MOORE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON M MOORE D.C. (PRESIDENT)
(618) 375-2771
Entity
Organization
Contact information
Practice address
718 S COURT ST, GRAYVILLE, IL 62844-1579
(618) 375-2771
Mailing address
718 S COURT ST, GRAYVILLE, IL 62844-1579
(618) 375-2771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010702
IL
Other
Enumeration date
01/24/2007
Last updated
09/04/2012
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