Organization
GONSTEAD FAMILY CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY DANIEL JACKSON D.C. (PRESIDENT)
(814) 336-5420
Entity
Organization
Contact information
Practice address
1261 S MAIN ST, MEADVILLE, PA 16335-3034
(814) 336-5420
(814) 336-2898
Mailing address
1261 S MAIN ST, MEADVILLE, PA 16335-3034
(814) 336-5420
(814) 336-2898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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