Dr. Bryan Michael Dame, D.C.
Chiropractor in Springfield, MO. Individual provider (NPI-1).
NPI number1508023367
StatusActive
Last updated in NPPESFeb 24, 2011
Details
- NPI
- 1508023367
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bryan Michael Dame
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2008
- Last updated
- Feb 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2010024744 | MO | Yes |
| 111N00000X | Chiropractor | 6231 | CO |
Practice location
636 W Republic RdSte 108
Springfield, MO 65807-5818
Phone 417-862-1922
Mailing address
636 W. Republic Rd.Ste 108
Springfield, MO 80537
Phone 417-862-1922
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