Individual provider · Type 1 NPI
Brian Scott Mallory, DC
Chiropractor · Madison, WV
NPI number
1306186697
Active
Practice location
467 Main St
Madison, WV 25130-2200
Fax (304) 369-7978
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 953 (WV) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1306186697
Brian Scott Mallory, DC's National Provider Identifier is 1306186697, issued on Feb 22, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Madison, WV. The record was last updated on Aug 6, 2013.