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Organization
STOM CHIROPRACTIC CORPORATION
Active
Organization
STOM CHIROPRACTIC CORPORATION
Active
Other names
Stom Chiropractic Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERRICK JACK STOM DC (PRESIDENT, SECRETARY, TREASURER)
(925) 956-8333
Entity
Organization
Contact information
Practice address
7001 SUNNE LN # 112, WALNUT CREEK, CA 94597-3622
(925) 956-8333
(925) 947-1122
Mailing address
2125 YOUNGS CT, WALNUT CREEK, CA 94596-6319
(925) 956-8333
(925) 947-1122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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