| Liberty Horizon Inc | |
|
2255 N University Pkwy Ste 25, Provo, UT 84604-1579 | |
| (801) 867-1234 | |
| Not Available |
| Full Name | Liberty Horizon Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2255 N University Pkwy Ste 25, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225857196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Robert Charles Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134531775 PECOS PAC ID: 9638394067 Enrollment ID: I20140627000514 |
| Provider Name | Dustin Michael Creer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306578653 PECOS PAC ID: 9133649635 Enrollment ID: I20250227002317 |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Horizon Inc 2255 N University Pkwy Ste 25, Provo, UT 84604-1579 Ph: (801) 867-1234 | Liberty Horizon Inc 2255 N University Pkwy Ste 25, Provo, UT 84604-1579 Ph: (801) 867-1234 |
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