Individual
DR. JACOB WAYNE FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
241 N BUFFALO DR STE 100, LAS VEGAS, NV 89145-0307
(702) 852-1390
(702) 577-3334
Mailing address
241 N BUFFALO DR STE 100, LAS VEGAS, NV 89145-0307
(702) 852-1390
(702) 577-3334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
B01260
NV
111NI0013X
Independent Medical Examiner Chiropractor
B01260
NV
Other
Enumeration date
07/23/2007
Last updated
05/27/2021
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