Jamie L Southard DC PC

NPI #1235594516 in Mount Vernon, Washington

Provider Information

NPI Number: 1235594516
Entity Type: Organization
Organization Name: Jamie L Southard DC PC
Primary Specialty: Chiropractor
Enumeration Date: Dec 30, 2015
Last Updated: Nov 15, 2024

Practice Location

Address: 113 S 11TH ST
City: Mount Vernon
State: Washington
ZIP Code: 98274-4025
Phone: (360) 488-2123

Authorized Official

Name: JAMIE L SOUTHARD, DC
Title: PRESIDENT
Phone: (360) 488-2123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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