DR. Jack Martin Bourla, D.C.
NPI #1013055755 in Redwood City, California
Provider Information
- NPI Number
- 1013055755
- Entity Type
- Individual
- Name
- DR. Jack Martin Bourla, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Feb 2, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 499 SEAPORT CT
- Address 2
- SUITE 101
- City
- Redwood City
- State
- California
- ZIP Code
- 94063-2783
- Phone
- (650) 365-1473
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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