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Organization
WAGNER CHIROPRACTIC P.C.
Active
Organization
WAGNER CHIROPRACTIC P.C.
Active
Other names
Wagner Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMISON MATTHEW WAGNER D.C. (PRESIDENT)
(712) 258-1021
Entity
Organization
Contact information
Practice address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
(712) 233-6049
Mailing address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
(712) 233-6049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06696
IA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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