Individual
JAGGER BROCK LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3261 W CAREFREE CIR, COLORADO SPRINGS, CO 80917-3004
(719) 596-4580
Mailing address
4940 DEL SOL RD, COLORADO SPRINGS, CO 80918-2705
(719) 264-9923
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5573
CO
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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