Ethan Spore, DC

NPI #1245913748 in Pittsburg, Kansas

Provider Information

NPI Number: 1245913748
Entity Type: Individual
Name: Ethan Spore, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Aug 10, 2023
Last Updated: Aug 10, 2023

Practice Location

Address: 619 N BROADWAY ST
City: Pittsburg
State: Kansas
ZIP Code: 66762-3904
Phone: (620) 238-8195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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