Individual
JERRY BRENT GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
620 SOUTHPOINTE CT, STE 290, COLORADO SPRINGS, CO 80906-3897
(719) 344-8057
(719) 344-8114
Mailing address
620 SOUTHPOINTE CT, STE 290, COLORADO SPRINGS, CO 80906-3897
(719) 344-8057
(719) 344-8114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4937
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
801231
MEDICARE
CO
Enumeration date
05/23/2005
Last updated
10/14/2013
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