Individual
DR. BRAD D TEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
800 STERTHAUS DR, SUITE A, ORMOND BEACH, FL 32174-5132
(386) 310-7246
Mailing address
1721 RIDGEWOOD AVE, STE A, HOLLY HILL, FL 32117-5405
(386) 310-7246
(386) 310-4952
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH10046
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2209Y
BCBS
FL
Enumeration date
07/14/2010
Last updated
05/17/2016
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