Individual
DR. JACOB RUSSELL SWONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1060 MARKET DR STE 1, VERNAL, UT 84078-2341
(435) 414-9773
Mailing address
1060 MARKET DR STE 1, VERNAL, UT 84078-2341
(435) 414-9773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9126999-1202
UT
Other
Enumeration date
12/08/2009
Last updated
08/15/2019
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