| Southard Family Chiropractic | |
|
113 S 11th St, Mount Vernon, WA 98274-4025 | |
| (360) 488-2123 | |
| (360) 404-3906 |
| Full Name | Southard Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 113 S 11th St, Mount Vernon, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235594516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (Washington) | Primary |
| Provider Name | Jamie L Southard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487655635 PECOS PAC ID: 9739368176 Enrollment ID: I20110201000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Southard Family Chiropractic 113 S 11th St, Mount Vernon, WA 98274-4025 Ph: (360) 488-2123 | Southard Family Chiropractic 113 S 11th St, Mount Vernon, WA 98274-4025 Ph: (360) 488-2123 |
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