Individual
DR. BRADFORD DWIGHT JINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
424 HWY KK, TROY, MO 63379
(636) 462-3409
(636) 462-3409
Mailing address
424 HWY KK, TROY, MO 63379
(636) 462-3409
(636) 462-3409
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE005724
MO
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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