Provider Demographics
NPI:1598904096
Name:DOAN, BRADLEY CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:CHRISTOPHER
Last Name:DOAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 E GUADALUPE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3935
Mailing Address - Country:US
Mailing Address - Phone:480-295-0496
Mailing Address - Fax:
Practice Address - Street 1:1631 E GUADALUPE RD STE 104
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3935
Practice Address - Country:US
Practice Address - Phone:480-295-0496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-07
Last Update Date:2009-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7969111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor