| Statera Chiropractic Llc | |
|
736 W Riverdale Road, Riverdale, UT 84405 | |
| (385) 288-0934 | |
| Not Available |
| Full Name | Statera Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 736 W Riverdale Road, Riverdale, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497258511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10638431-1202 (Utah) | Primary |
| Provider Name | Douglas Gregory |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174030688 PECOS PAC ID: 8921360371 Enrollment ID: I20180612002476 |
| Provider Name | Megan Ann Jacobson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912514662 PECOS PAC ID: 2264852151 Enrollment ID: I20210621000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Statera Chiropractic Llc 736 W Riverdale Road, Riverdale, UT 84405 Ph: (385) 288-0934 | Statera Chiropractic Llc 736 W Riverdale Road, Riverdale, UT 84405 Ph: (385) 288-0934 |
Dr. Douglas Gregory, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 736 W Riverdale Road, Riverdale, UT 84405 Phone: 385-288-0934 | |
Todd Thomas Doxey, D.C, M.P.H. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4013 Pacific Ave, Riverdale, UT 84405 Phone: 801-394-9450 Fax: 801-866-0033 | |
Cornerstone Chiropractic Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4013 Pacific Ave, Riverdale, UT 84405 Phone: 801-394-9450 Fax: 801-866-0033 | |
Megan Ann Jacobson, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 736 W Riverdale Rd, Riverdale, UT 84405 Phone: 852-880-9343 |