| Mark Swain Aldridge, DC | |
|
3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 | |
| (801) 766-2080 | |
| (801) 766-4776 |
| Full Name | Mark Swain Aldridge |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 25 Years |
| Location | 3300 Running Creek Way, Lehi, 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 |
|---|---|---|---|
| 1386780906 | NPI | - | NPPES |
| 453363 | Other | VA | ANTHEM PROVIDER NUMBER |
| 32-0003223 | Other | VA | EMPLOYER IDENTIFICATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 0104555765 (Virginia) | Secondary |
| 111N00000X | Chiropractor | 328280-1202 (Utah) | Primary |
| Provider Name | Aldridge Family Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134488315 PECOS PAC ID: 4082878889 Enrollment ID: O20120606000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Swain Aldridge, DC 3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 Ph: (801) 766-2080 | Mark Swain Aldridge, DC 3300 Running Creek Way, Bld E Ste 200, Lehi, UT 84043-5563 Ph: (801) 766-2080 |
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