Individual
DR. JASON BRENT MIRANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
224 E WILLAMETTE AVE STE 5, COLORADO SPRINGS, CO 80903-1114
(405) 388-7864
Mailing address
4860 MANZANA DR APT 208, COLORADO SPRINGS, CO 80911-3008
(405) 388-7864
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6760
CO
Other
Enumeration date
05/21/2012
Last updated
12/11/2018
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