DR. Bradley Jack Polen, DC
NPI #1043894165 in Wood River, Illinois
Provider Information
- NPI Number
- 1043894165
- Entity Type
- Individual
- Name
- DR. Bradley Jack Polen, DC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- May 6, 2021
- Last Updated
- Oct 19, 2021
Practice Location
- Address
- 203 S 6TH ST
- City
- Wood River
- State
- Illinois
- ZIP Code
- 62095-2345
- Phone
- (618) 254-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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