DR. Brad Alan Shallow, DC

NPI #1447640768 in Deland, Florida

Provider Information

NPI Number: 1447640768
Entity Type: Individual
Name: DR. Brad Alan Shallow, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jan 24, 2015
Last Updated: Jan 24, 2015

Practice Location

Address: 120 S WOODLAND BLVD
Address 2: SUITE B
City: Deland
State: Florida
ZIP Code: 32720-5445
Phone: (386) 341-1404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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