| Todd N. Grant Dc Pc | |
|
280 W 200 N Suite A Kaysville UT 84037-2183 | |
| (801) 546-2273 | |
| (801) 546-4585 |
| Full Name | Todd N. Grant Dc Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 W 200 N, Kaysville, Utah |
| Authorized Official Name and Position | Todd Nash Grant (PRESIDENT) |
| Authorized Official Contact | 8015462273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd N. Grant Dc Pc 280 W 200 N Suite A Kaysville UT 84037-2183 Ph: (801) 546-2273 | Todd N. Grant Dc Pc 280 W 200 N Suite A Kaysville UT 84037-2183 Ph: (801) 546-2273 |
| NPI Number | 1154637197 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Medicare PECOS PAC ID | 4789878414 |
|---|---|
| Medicare Enrollment ID | O20101027000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154637197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1761081202 (Utah) | Primary |
| Provider Name | Todd N Grant |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265516165 PECOS PAC ID: 9537353271 Enrollment ID: I20101027000408 |
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