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NPI Code Detail

MEDICARE: BRIAN DAVID JUSTICE D.C.

MEDICARE: BRIAN DAVID JUSTICE 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
1111NX0800XOrthopedic Chiropractor3703NY

General Provider Information

NPI Number : 1881685774
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN DAVID JUSTICE D.C.
Provider Business Mailing Address
First Line : 212 EDGEMERE DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-1714
Country : US
Telephone Number : 585-865-0099
Fax Number :
Provider Business Practice Location Address
First Line : 1687 ENGLISH RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14616-1609
Country : US
Telephone Number : 585-227-7720
Fax Number : 585-227-7858
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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