DR. Brian T Ruddell, DC

NPI #1770648388 in Lewiston, Idaho

Provider Information

NPI Number: 1770648388
Entity Type: Individual
Name: DR. Brian T Ruddell, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Dec 26, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1117 16TH AVENUE
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 743-8401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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