Brian S Icke, D.C.
NPI #1396738084 in Santa Rosa, California
Provider Information
- NPI Number
- 1396738084
- Entity Type
- Individual
- Name
- Brian S Icke, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1066 4TH ST
- Address 2
- SUITE B
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95404-4321
- Phone
- (707) 545-1650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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