Organization
GOLAN INTEGRATED PHYSICAL MEDICINE
Active
Other names
Advanced Spine and Posture
Organization subpart
No
Provider details
NPI number
Authorized official
JASON O JAEGER D.C. (OWNER)
(702) 396-4993
Entity
Organization
Contact information
Practice address
6592 N. DECATUR BLVD, SUITE # 115, LAS VEGAS, NV 89131-1038
(702) 396-4993
(702) 636-4990
Mailing address
PO BOX 561564, DENVER, CO 80256-1564
(702) 202-1850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B00949
NV
111NN1001X
Nutrition Chiropractor
B00949
NV
111NR0400X
Rehabilitation Chiropractor
B00949
NV
Other
Enumeration date
10/21/2010
Last updated
04/25/2022
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