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NPI Code Detail

MEDICARE: BRIAN CHRISTOPHER BALES D.C.

MEDICARE:   BRIAN CHRISTOPHER BALES  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor23624CA

General Provider Information

NPI Number : 1811948342
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CHRISTOPHER BALES D.C.
Provider Business Mailing Address
First Line : 2345 FLETCHER PKWY
Second Line :
City : EL CAJON
State : CA
Zip : 92020-2134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2345 FLETCHER PKWY
Second Line :
City : EL CAJON
State : CA
Zip : 92020-2134
Country : US
Telephone Number : 619-460-4465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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Directions to “ BRIAN CHRISTOPHER BALES D.C.” Practice Location

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