| Utah Spinal Works | |
|
5455 W 11000 N Ste 107, Highland, UT 84003-8801 | |
| (801) 770-4333 | |
| Not Available |
| Full Name | Utah Spinal Works |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5455 W 11000 N Ste 107, Highland, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750124541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jeffery Crockett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912514217 PECOS PAC ID: 4688088859 Enrollment ID: I20210129000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Spinal Works 5455 W 11000 N Ste 107, Highland, UT 84003-8801 Ph: (801) 770-4333 | Utah Spinal Works 5455 W 11000 N Ste 107, Highland, UT 84003-8801 Ph: (801) 770-4333 |
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