Organization
WAGNER CHIROPRACTIC P.C.
Active
Other names
Wagner Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMISON MATTHEW WAGNER D.C. (PRESIDENT)
(712) 258-1021
Entity
Organization
Contact information
Practice address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
(712) 233-6049
Mailing address
1723 GRANDVIEW BLVD, SIOUX CITY, IA 51105-1116
(712) 258-1021
(712) 233-6049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06696
IA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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