NPI 1073892659

Spanish Fork Family Chiropractic

Organisation Primary Care Clinic/Center Spanish Fork, UT

Practice location

Address: 729 N Main St, Spanish Fork, UT 84660-1146
Phone: (801) 804-5342
Fax: (877) 825-7020

Authorised official

Name: Christopher Cade Broderick
Title: Manager
Phone: (801) 804-5342

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 7952725-1202 (UT)

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Registry record

NPI: 1073892659
Entity type: Organization
NPI issued: 12 Aug 2011
Record last updated: 12 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.