| Physical Medicine Clinic Inc | |
|
7669 S 1700 W, West Jordan, UT 84084-4007 | |
| (801) 566-2449 | |
| (801) 566-5435 |
| Full Name | Physical Medicine Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 7669 S 1700 W, 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 |
|---|---|---|---|
| 1366751430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 1676421202 (Utah) | Primary |
| Provider Name | Patrick Bruce Egbert |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750388765 PECOS PAC ID: 1951594605 Enrollment ID: I20101026000882 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Medicine Clinic Inc 7669 S 1700 W, West Jordan, UT 84084-4007 Ph: (801) 566-2449 | Physical Medicine Clinic Inc 7669 S 1700 W, West Jordan, UT 84084-4007 Ph: (801) 566-2449 |
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