| Chad L Collard, DC | |
|
9103 S 1300 W Ste 101, West Jordan, UT 84088-6711 | |
| (801) 569-1141 | |
| (801) 569-1171 |
| Full Name | Chad L Collard |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 28 Years |
| Location | 9103 S 1300 W Ste 101, West Jordan, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184707036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3691541202 (Utah) | Primary |
| Provider Name | Collard Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013583731 PECOS PAC ID: 1355740937 Enrollment ID: O20210602001163 |
| Mailing Address | Practice Location Address |
|---|---|
| Chad L Collard, DC 9103 South 1300 West Ste 101, West Jordan, UT 84088 Ph: (801) 569-1141 | Chad L Collard, DC 9103 S 1300 W Ste 101, West Jordan, UT 84088-6711 Ph: (801) 569-1141 |
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