Individual
JERRY JOHN SPEIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
316 HIGHWAY 6 AND 50, FRUITA, CO 81521-2642
(970) 858-8682
(970) 858-8683
Mailing address
316 HIGHWAY 6 AND 50, FRUITA, CO 81521-2642
(970) 858-8682
(970) 858-8683
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
632272
BLUE CROSS BLUE SHIELD
CO
01
—
641171
AMER CHIRO NETWK
CO
Enumeration date
03/29/2007
Last updated
07/09/2007
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