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NPI Code Detail

MEDICARE: DR. CARRIE ANN ROEDER BRANNOCK D.C

MEDICARE:  DR. CARRIE ANN ROEDER BRANNOCK  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
1111N00000XChiropractorDC27850CA

General Provider Information

NPI Number : 1992769871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARRIE ANN ROEDER BRANNOCK D.C
Provider Business Mailing Address
First Line : 2515 CAMINO DEL RIO S STE 110
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3714
Country : US
Telephone Number : 619-291-8111
Fax Number : 619-291-8118
Provider Business Practice Location Address
First Line : 2515 CAMINO DEL RIO S STE 110
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3714
Country : US
Telephone Number : 619-291-8111
Fax Number : 619-291-8118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 04/27/2020

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Directions to “ DR. CARRIE ANN ROEDER BRANNOCK D.C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.