DR. Jared D Mangum, DC, MBA, LMT

NPI #1578820247 in Hayden, Idaho

Provider Information

NPI Number: 1578820247
Entity Type: Individual
Name: DR. Jared D Mangum, DC, MBA, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC, MBA, LMT
Enumeration Date: Apr 18, 2012
Last Updated: Jul 6, 2020

Practice Location

Address: 8659 N RUDE ST
City: Hayden
State: Idaho
ZIP Code: 83835-8255
Phone: (801) 762-7447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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