Individual
DR. BRANDON MICHAEL DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
734 CAMBRIDGE BLVD # 100, O FALLON, IL 62269-1964
(618) 622-9780
(618) 622-9782
Mailing address
734 CAMBRIDGE BLVD # 100, O FALLON, IL 62269-1964
(618) 622-9780
(618) 622-9782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038013186
IL
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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