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Individual

JACK HOWARD BERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
113 MAIN ST STE A, THREE FORKS, MT 59752-8997
(406) 285-6935
(406) 285-6874
Mailing address
PO BOX 1307, THREE FORKS, MT 59752-1307
(406) 285-6935
(406) 285-6874

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
883
MT

Other

Enumeration date
12/07/2006
Last updated
12/18/2018
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