BRAD ALAN SHALLOW

DELAND, FL
NPI1447640768
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH11338)
Enumeration Date2015-01-24
Last Update Date2015-01-24
Business Address
Dr. BRAD ALAN SHALLOW DC
120 S WOODLAND BLVD SUITE B
DELAND, FL 32720-5445
Phone number: 386-341-1404
Mailing Address
Dr. BRAD ALAN SHALLOW DC
918 TALL PINE DR
PORT ORANGE, FL 32127-4828
Phone number: 910-231-3457