Organization
BRIAN J SMITH, DC
Active
Parent organization
BRIAN J SMITH, DC
Other names
chiropracticmassagemedford
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRIAN J SMITH, DC
Authorized official
BRIAN JARED SMITH DC (DR)
(541) 897-4055
Entity
Organization
Contact information
Practice address
329 S IVY ST, MEDFORD, OR 97501-3174
(541) 897-4055
Mailing address
329 S IVY ST, MEDFORD, OR 97501-3174
(541) 897-4055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5526
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667962
—
OR
Enumeration date
02/25/2015
Last updated
02/25/2015
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