Organization
SPEARES CHIROPRACTIC AND SPORTS CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN PHILLIPS SPEARES DC (OWNER/PROVIDER)
(804) 784-0161
Entity
Organization
Contact information
Practice address
115 BROAD STREET RD, MANAKIN SABOT, VA 23103-2272
(804) 784-0161
Mailing address
115 BROAD STREET RD, MANAKIN SABOT, VA 23103-2272
(804) 784-0161
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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