Individual
DR. JACK R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
309 N STATE ST, OREM, UT 84057-4747
(801) 824-1148
Mailing address
1520 N UNION BLVD STE 101, COLORADO SPRINGS, CO 80909-2840
(719) 635-1333
(719) 632-1334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
281021-1202
UT
Other
Enumeration date
07/12/2012
Last updated
09/19/2014
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