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Individual

DR. RICHARD A BRULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
4167 PATTERSON AVE, BALTIMORE, MD 21215-2221
(410) 764-2111
(410) 764-9947
Mailing address
9601 PULASKI PARK DR, SUITE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
(410) 933-1823

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01889
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1534181
CAQH
MD
01
758507
CAREFIRST
MD
Enumeration date
11/25/2005
Last updated
06/18/2015
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