Alta Vista Chiropractic | |
1781 W 9000 S, West Jordan, UT 84088-6502 | |
(801) 562-5600 | |
(801) 255-7104 |
Full Name | Alta Vista Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 1781 W 9000 S, West Jordan, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912631219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Stephanie J Allen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437126372 PECOS PAC ID: 6103842091 Enrollment ID: I20051024000265 |
Provider Name | Bryn W Bradley |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1447447982 PECOS PAC ID: 4688723968 Enrollment ID: I20090515000134 |
Mailing Address | Practice Location Address |
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Alta Vista Chiropractic 1781 W 9000 S, West Jordan, UT 84088-6502 Ph: (801) 562-5600 | Alta Vista Chiropractic 1781 W 9000 S, West Jordan, UT 84088-6502 Ph: (801) 562-5600 |
Dirk S Woodmansee Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2618 W 7800 S Ste 200, West Jordan, UT 84088 Phone: 801-562-1531 Fax: 801-562-1534 | |
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