Provider Demographics
NPI:1659468015
Name:EATON, BRIAN SPENCER (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:SPENCER
Last Name:EATON
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 1:6525 N BUFFALO DR STE 160
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4049
Mailing Address - Country:US
Mailing Address - Phone:702-898-4600
Mailing Address - Fax:702-395-0435
Practice Address - Street 1:6525 N BUFFALO DR STE 160
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4049
Practice Address - Country:US
Practice Address - Phone:702-898-4600
Practice Address - Fax:702-395-0435
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor