DR. Jacob Glen Smith, D.C.

NPI #1255790788 in Green River, Wyoming

Provider Information

NPI Number
1255790788
Entity Type
Individual
Name
DR. Jacob Glen Smith, D.C.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Feb 11, 2016
Last Updated
Jun 6, 2016

Practice Location

Address
107 COMMERCE DR
Address 2
SUITE A
State
Wyoming
ZIP Code
82935-6179
Phone
(307) 871-4411

Specialties & Taxonomy Codes

Specialty
Chiropractor

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