DR. Brad Richard Egbert, D.C.

NPI #1134279565 in Rexburg, Idaho

Provider Information

NPI Number: 1134279565
Entity Type: Individual
Name: DR. Brad Richard Egbert, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jan 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1134 BOND AVE
City: Rexburg
State: Idaho
ZIP Code: 83440-3582
Phone: (208) 356-8818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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