Individual
DR. BRIAN CLAY BAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 5TH ST SE, WATERTOWN, SD 57201-3778
(605) 882-4252
Mailing address
1129 4TH AVE SE, WATERTOWN, SD 57201-4577
(605) 753-2050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
687
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600120
—
SD
Enumeration date
02/07/2007
Last updated
07/08/2007
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