Jack K. Vandervort

NPI #1285696773 in Meadville, Pennsylvania

Provider Information

NPI Number: 1285696773
Entity Type: Organization
Organization Name: Jack K. Vandervort
Primary Specialty: Chiropractor
Enumeration Date: Apr 3, 2006
Last Updated: Apr 28, 2010

Practice Location

Address: 11581 STATE HWY 98
City: Meadville
State: Pennsylvania
ZIP Code: 16335-7321
Phone: (814) 336-3434

Authorized Official

Name: MRS. MAUREEN ELAINE VANDERVORT
Title: OFFICE MANAGER
Phone: (814) 336-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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