Provider Demographics
NPI:1518995711
Name:DOPPS, JOHN BRUCE (CHIROPRACTER)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BRUCE
Last Name:DOPPS
Suffix:
Gender:M
Credentials:CHIROPRACTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5119 E KELLOGG DR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1625
Mailing Address - Country:US
Mailing Address - Phone:316-685-6351
Mailing Address - Fax:316-686-3278
Practice Address - Street 1:5119 E KELLOGG DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1625
Practice Address - Country:US
Practice Address - Phone:316-685-6351
Practice Address - Fax:316-686-3278
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSC3404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor