Individual
JACOB STEWART GLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
975 AIRPORT RD SW STE H, HUNTSVILLE, AL 35802-1395
(256) 203-4275
Mailing address
2701 BRETT RD NW, HUNTSVILLE, AL 35810-3304
(804) 516-2450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2877
AL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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